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General NPI Number Information
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NPI Number | 1346686409
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Entity Type | Organization
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Legal Business Name | DR TRAN HARBOR SPINE & WELLNESS CHIROPRACTIC INC
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Dates
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Enumeration Date | 05/16/2013
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Last Update Date | 05/16/2013
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Provider Practice Location Address
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Address Line | 12901 HARBOR BLVD SUITE A6
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City | GARDEN GROVE
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State | CA
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Zip | 92840-5830
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Country | US
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Telephone | 714-539-8250
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Fax |
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Provider Business Mailing Address
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Address Line | 12901 HARBOR BLVD. SUITE A6
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City | GARDEN GROVE
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State | CA
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Zip | 92840
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Country | US
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Telephone | 714-539-8250
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KHANH TRAN
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Credential | D.C.
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Telephone | 714-539-8250
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC25631
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License Number State | CA
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