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General NPI Number Information
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NPI Number | 1235909433
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Entity Type | Individual
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Provider Name | TIANA KENNA TRAN PHARMD, RPH
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Gender | Female
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Dates
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Enumeration Date | 01/08/2024
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Last Update Date | 01/08/2024
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Provider Practice Location Address
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Address Line | 46-021 KAMEHAMEHA HWY
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City | KANEOHE
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State | HI
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Zip | 96744-3769
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Country | US
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Telephone | 808-234-1490
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Fax |
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Provider Business Mailing Address
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Address Line | 317 HAHANI ST
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City | KAILUA
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State | HI
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Zip | 96734-2802
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PH5028
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License Number State | HI
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