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General NPI Number Information
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NPI Number | 1396178851
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Entity Type | Individual
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Provider Name | JULIE TRAN
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Gender | Female
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Dates
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Enumeration Date | 08/19/2013
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Last Update Date | 04/12/2024
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Provider Practice Location Address
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Address Line | 275 BECK AVE
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City | FAIRFIELD
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State | CA
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Zip | 94533-6804
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Country | US
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Telephone | 707-784-8069
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Fax | 707-421-6618
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Provider Business Mailing Address
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Address Line | 452 PHOENIX CIR
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City | VALLEJO
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State | CA
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Zip | 94589-3529
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Country | US
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Telephone | 714-818-2117
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Fax | 707-421-6618
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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 | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number | 95174363
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License Number State | CA
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