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General NPI Number Information
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NPI Number | 1174408355
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Entity Type | Individual
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Provider Name | CHAU MY TRAN PHARMD
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Gender | Male
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Dates
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Enumeration Date | 08/07/2025
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 7495 W 29TH AVE
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City | WHEAT RIDGE
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State | CO
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Zip | 80033-8002
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Country | US
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Telephone | 303-778-7433
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Fax |
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Provider Business Mailing Address
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Address Line | 15856 E KEPNER DR
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City | AURORA
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State | CO
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Zip | 80017-3006
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Country | US
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Telephone | 303-669-6103
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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 | PHA.0025041
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License Number State | CO
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