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General NPI Number Information
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NPI Number | 1306243159
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Entity Type | Individual
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Provider Name | YEN TRAN PHARM.D
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Gender | Female
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Dates
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Enumeration Date | 11/21/2014
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Last Update Date | 11/21/2014
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Provider Practice Location Address
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Address Line | 10355 WICKLOW WAY
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City | JACKSON
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State | CA
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Zip | 95642-9324
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Country | US
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Telephone | 209-223-5193
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Fax |
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Provider Business Mailing Address
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Address Line | 14930 VENADO DR
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City | RANCHO MURIETA
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State | CA
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Zip | 95683-9322
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Country | US
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Telephone | 530-219-8160
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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 | 71111
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License Number State | CA
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