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NPI 1457392482

NPI 1457392482 : VU Q TRAN MD : ROCHESTER, NY

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General NPI Number Information
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    NPI Number           |    1457392482
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    Entity Type          |    Individual 
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    Provider Name        |    VU Q TRAN MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/09/2006
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    Last Update Date     |    11/22/2013
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Provider Practice Location Address
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    Address Line         |    1770 LONG POND RD SUITE 201
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    City                 |    ROCHESTER
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    State                |    NY
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    Zip                  |    14606-4057
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    Country              |    US
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    Telephone            |    585-247-8460
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    Fax                  |    585-247-8462
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Provider Business Mailing Address
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    Address Line         |    1770 LONG POND RD SUITE 201
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    City                 |    ROCHESTER
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    State                |    NY
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    Zip                  |    14606-4057
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    Country              |    US
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    Telephone            |    585-247-8460
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    Fax                  |    585-247-8462
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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       |    222275
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    License Number State |    NY
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