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General NPI Number Information
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NPI Number | 1154734846
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Entity Type | Individual
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Provider Name | BAO ANH PATRICK DINH TRAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/10/2014
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Last Update Date | 08/05/2024
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Provider Practice Location Address
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Address Line | 2324 SANTA RITA RD STE 2
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City | PLEASANTON
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State | CA
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Zip | 94566-4150
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Country | US
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Telephone | 925-846-5100
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Fax |
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Provider Business Mailing Address
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Address Line | 2324 SANTA RITA RD STE 2
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City | PLEASANTON
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State | CA
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Zip | 94566-4150
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Country | US
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Telephone | 925-846-5100
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | A155355
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License Number State | CA
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