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General NPI Number Information
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NPI Number | 1427172584
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Entity Type | Individual
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Provider Name | DEANNA TRAN D.O.
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Gender | Female
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Dates
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Enumeration Date | 03/16/2007
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Last Update Date | 10/08/2024
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Provider Practice Location Address
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Address Line | 1175 SPRING CENTRE SOUTH BLVD STE 1020
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32714-5000
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Country | US
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Telephone | 321-221-8522
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Fax | 407-297-9801
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Provider Business Mailing Address
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Address Line | 1175 SPRING CENTRE SOUTH BLVD SUITE 1020
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32714
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Country | US
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Telephone | 407-297-0805
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Fax | 407-297-9801
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OS 9897
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License Number State | FL
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