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General NPI Number Information
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NPI Number | 1184149189
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Entity Type | Individual
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Provider Name | NGUYEN VINH TOAN TRAN MD
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Gender | Male
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Dates
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Enumeration Date | 08/10/2017
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Last Update Date | 11/03/2021
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Provider Practice Location Address
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Address Line | 3808 E SUMMITRIDGE LN
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City | ORANGE
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State | CA
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Zip | 92867-2122
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Country | US
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Telephone | 714-944-8511
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Fax |
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Provider Business Mailing Address
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Address Line | 3808 E SUMMITRIDGE LN
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City | ORANGE
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State | CA
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Zip | 92867-2122
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Country | US
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Telephone |
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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 | 2083P0500X
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Taxonomy Name | Preventive Medicine/Occupational Environmental Medicine Physician
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License Number | ME116464
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2083A0100X
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Taxonomy Name | Aerospace Medicine Physician
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License Number | ME116464
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License Number State | FL
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