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General NPI Number Information
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NPI Number | 1356845168
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Entity Type | Individual
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Provider Name | TUAN TRAN MD
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Gender | Male
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Dates
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Enumeration Date | 03/19/2018
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Last Update Date | 12/04/2024
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Provider Practice Location Address
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Address Line | 8585 PICARDY AVE STE 318
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City | BATON ROUGE
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State | LA
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Zip | 70809-3749
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Country | US
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Telephone | 225-333-3800
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Fax |
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Provider Business Mailing Address
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Address Line | 256 MAE DR
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City | GRETNA
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State | LA
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Zip | 70056-3988
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Country | US
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Telephone |
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 341756
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License Number State | LA
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