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General NPI Number Information
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NPI Number | 1467093849
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Entity Type | Organization
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Legal Business Name | TONY TRAN D O INC
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Dates
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Enumeration Date | 10/07/2019
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Last Update Date | 10/07/2019
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Provider Practice Location Address
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Address Line | 13075 BLACKBIRD ST
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City | GARDEN GROVE
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State | CA
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Zip | 92843
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Country | US
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Telephone | 714-747-1818
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Fax |
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Provider Business Mailing Address
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Address Line | 13121 LABURNUM DR
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City | TUSTIN
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State | CA
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Zip | 92780-3824
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Country | US
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Telephone | 714-747-1818
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Fax |
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Authorized Official
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Title or Position | DO/PRESIDENT
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Name | TONY TRAN
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Credential | DO
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Telephone | 714-747-1818
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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