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General NPI Number Information
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NPI Number | 1396690996
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Entity Type | Individual
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Provider Name | KHA TRAN
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Gender | Male
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Dates
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Enumeration Date | 02/28/2026
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Last Update Date | 02/28/2026
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Provider Practice Location Address
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Address Line | 9936 SW 57TH CT
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City | OCALA
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State | FL
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Zip | 34476-0712
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Country | US
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Telephone | 352-300-8783
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Fax |
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Provider Business Mailing Address
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Address Line | 12901 BRUCE B DOWNS BLVD # 22
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City | TAMPA
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State | FL
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Zip | 33612-4799
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Country | US
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Telephone | 813-974-2191
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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 | 163WM1400X
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Taxonomy Name | Nurse Massage Therapist (NMT)
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License Number | RN9504122
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License Number State | FL
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