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General NPI Number Information
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NPI Number | 1336432426
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Entity Type | Individual
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Provider Name | KIET VAN TRAN D.C, L.AC
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Gender | Male
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Dates
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Enumeration Date | 05/23/2011
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Last Update Date | 06/07/2022
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Provider Practice Location Address
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Address Line | 260 W CREST ST STE B
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City | ESCONDIDO
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State | CA
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Zip | 92025-1716
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Country | US
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Telephone | 760-650-2247
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Fax | 949-334-1215
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Provider Business Mailing Address
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Address Line | 2827 COTTINGHAM ST
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City | OCEANSIDE
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State | CA
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Zip | 92054
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Country | US
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Telephone | 760-687-5136
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 15464
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 31949
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License Number State | CA
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