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General NPI Number Information
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NPI Number | 1407114333
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Entity Type | Organization
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Legal Business Name | RYAN B TRAN MD INC
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Dates
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Enumeration Date | 04/28/2012
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Last Update Date | 04/28/2012
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Provider Practice Location Address
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Address Line | 27700 MEDICAL CENTER RD MISSION MEDICAL CENTER
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City | MISSION VIEJO
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State | CA
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Zip | 92691-6426
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Country | US
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Telephone | 949-529-0939
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Fax | 425-419-1578
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Provider Business Mailing Address
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Address Line | 15333 CULVER DR SUITE340 #160
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City | IRVINE
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State | CA
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Zip | 92604-3078
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Country | US
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Telephone | 949-529-0939
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Fax | 425-419-1578
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | RYAN B TRAN
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Credential | MD
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Telephone | 949-529-0939
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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