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General NPI Number Information
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NPI Number | 1447446786
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Entity Type | Organization
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Legal Business Name | THANG-TOM THIEN TRAN, M.D., A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 09/20/2007
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Last Update Date | 09/20/2007
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Provider Practice Location Address
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Address Line | 2810 W CHARLESTON BLVD STE 48
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City | LAS VEGAS
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State | NV
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Zip | 89102-1921
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Country | US
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Telephone | 702-870-8994
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Fax | 702-870-1662
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Provider Business Mailing Address
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Address Line | PO BOX 27782
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City | LAS VEGAS
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State | NV
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Zip | 89126-1782
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Country | US
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Telephone | 702-870-8994
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Fax | 702-870-1662
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. THANG-TOM TRAN
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Credential | M.D.
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Telephone | 702-870-8994
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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 | 10531
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License Number State | NV
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