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NPI 1285051110

NPI 1285051110 : VINH QUANG TRAN RPH : SAN JOSE, CA

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General NPI Number Information
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    NPI Number           |    1285051110
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    Entity Type          |    Individual 
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    Provider Name        |    VINH QUANG TRAN RPH
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    03/28/2014
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    Last Update Date     |    03/28/2014
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Provider Practice Location Address
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    Address Line         |    3478 NEVES WAY 
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    City                 |    SAN JOSE
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    State                |    CA
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    Zip                  |    95127
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    Country              |    US
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    Telephone            |    408-693-8873
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    Fax                  |    831-678-5940
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Provider Business Mailing Address
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    Address Line         |    3478 NEVES WAY 
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    City                 |    SAN JOSE
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    State                |    CA
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    Zip                  |    95127-2458
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    Country              |    US
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    Telephone            |    408-258-5117
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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        |    1835P0018X
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    Taxonomy Name        |    Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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    License Number       |    62613
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    License Number State |    CA
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