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General NPI Number Information
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NPI Number | 1396264024
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Entity Type | Individual
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Provider Name | TAYLOR THUY TRAN PHARMD
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Gender | Female
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Dates
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Enumeration Date | 09/13/2017
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Last Update Date | 09/13/2017
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Provider Practice Location Address
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Address Line | 6010 W AMARILLO BLVD
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City | AMARILLO
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State | TX
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Zip | 79106-1990
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Country | US
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Telephone | 806-355-9703
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Fax | 806-670-0281
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Provider Business Mailing Address
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Address Line | 4919 HARVARD ST
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City | AMARILLO
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State | TX
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Zip | 79109-5803
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Country | US
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Telephone | 414-469-9555
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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 | 1835P1300X
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Taxonomy Name | Psychiatric Pharmacist
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License Number | 58659
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License Number State | TX
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