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General NPI Number Information
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NPI Number | 1265558910
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Entity Type | Individual
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Provider Name | PETER D TRAN RPH
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Gender | Male
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Dates
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Enumeration Date | 03/22/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 9000C RAINIER AVE S
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City | SEATTLE
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State | WA
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Zip | 98118-5025
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Country | US
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Telephone | 206-760-1076
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Fax | 206-760-2655
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Provider Business Mailing Address
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Address Line | 813 S 38TH CT
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City | RENTON
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State | WA
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Zip | 98055-5895
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Country | US
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Telephone | 206-214-8730
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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 | PH00040307
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License Number State | WA
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