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General NPI Number Information
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NPI Number | 1255775193
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Entity Type | Individual
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Provider Name | DZUNG TRAN PHARMD
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Gender | Male
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Dates
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Enumeration Date | 04/22/2013
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Last Update Date | 04/27/2020
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Provider Practice Location Address
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Address Line | 2205 W WILDCAT RESERVE PKWY
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City | HIGHLANDS RANCH
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State | CO
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Zip | 80129-5496
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Country | US
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Telephone | 720-344-0334
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Fax | 720-344-4348
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Provider Business Mailing Address
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Address Line | 2205 W WILDCAT RESERVE PKWY
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City | HIGHLANDS RANCH
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State | CO
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Zip | 80129-5496
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Country | US
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Telephone | 720-344-0334
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Fax | 720-344-4348
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 15383
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License Number State | CO
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