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General NPI Number Information
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NPI Number | 1366467102
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Entity Type | Individual
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Provider Name | TUAN ANH TRAN D.O., D.C.
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Gender | Male
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Dates
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Enumeration Date | 07/13/2006
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Last Update Date | 04/16/2017
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Provider Practice Location Address
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Address Line | 629 S. MAIN ST.
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City | MILPITAS
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State | CA
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Zip | 95035-5306
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Country | US
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Telephone | 408-263-6207
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Fax | 408-263-6245
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Provider Business Mailing Address
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Address Line | 989 STORY RD UNIT 8072
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City | SAN JOSE
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State | CA
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Zip | 95122-4603
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Country | US
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Telephone | 408-263-6207
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Fax | 408-263-6245
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC25815
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 20A11925
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License Number State | CA
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