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General NPI Number Information
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NPI Number | 1255688917
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Entity Type | Individual
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Provider Name | CECILIA NGUYEN-UYEN TRAN RPH
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Gender | Female
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Dates
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Enumeration Date | 08/12/2012
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Last Update Date | 08/12/2012
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Provider Practice Location Address
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Address Line | 1406 W WALNUT ST
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City | GARLAND
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State | TX
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Zip | 75042-5841
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Country | US
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Telephone | 972-494-3306
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Fax |
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Provider Business Mailing Address
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Address Line | 9901 ACKLIN DR
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City | DALLAS
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State | TX
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Zip | 75243-2401
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Country | US
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Telephone | 469-396-3260
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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 | 44046
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License Number State | TX
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