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General NPI Number Information
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NPI Number | 1164058731
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Entity Type | Individual
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Provider Name | SHANNON TRAM ANH TRINH PHARMD
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Gender | Female
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Dates
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Enumeration Date | 03/16/2020
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Last Update Date | 03/16/2020
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Provider Practice Location Address
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Address Line | 795 EL CAMINO REAL
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City | PALO ALTO
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State | CA
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Zip | 94301-2302
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Country | US
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Telephone | 650-687-0154
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Fax |
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Provider Business Mailing Address
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Address Line | 2089 PACIFIC BLVD APT 220
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City | SAN MATEO
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State | CA
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Zip | 94403-5702
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Country | US
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Telephone | 949-201-7544
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 82239
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License Number State | CA
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