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General NPI Number Information
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NPI Number | 1477360386
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Entity Type | Individual
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Provider Name | MICHELLE HUYNH TRANG
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Gender | Female
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Dates
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Enumeration Date | 12/13/2024
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Last Update Date | 12/13/2024
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Provider Practice Location Address
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Address Line | 26891 ALISO CREEK RD
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City | ALISO VIEJO
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State | CA
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Zip | 92656-3392
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Country | US
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Telephone | 949-360-4081
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Fax |
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Provider Business Mailing Address
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Address Line | 10330 E BRIAR OAKS DR APT D
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City | STANTON
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State | CA
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Zip | 90680-4229
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Country | US
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Telephone |
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Fax |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 90323
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License Number State | CA
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