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General NPI Number Information
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NPI Number | 1164946828
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Entity Type | Individual
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Provider Name | MICHELLE MINH-CHAU TRAN PH.D.
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Gender | Female
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Dates
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Enumeration Date | 08/03/2017
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Last Update Date | 08/12/2022
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Provider Practice Location Address
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Address Line | BUILDING 80, 6012 GENERAL JIM MOORE
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City | MARINA
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State | CA
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Zip | 93933
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Country | US
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Telephone | 831-582-3969
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Fax |
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Provider Business Mailing Address
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Address Line | 140 W FRANKLIN ST STE 203 PMB 10
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City | MONTEREY
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State | CA
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Zip | 93940-2725
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Country | US
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Telephone | 408-975-2730
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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