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General NPI Number Information
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NPI Number | 1487785663
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Entity Type | Individual
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Provider Name | JULIE TRAN PHYSICIAN ASSISTANT
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Gender | Female
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Dates
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Enumeration Date | 03/08/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 122 N EUCLID ST #B
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City | SANTA ANA
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State | CA
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Zip | 92703-3029
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Country | US
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Telephone | 714-725-5768
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Fax | 714-554-7155
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Provider Business Mailing Address
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Address Line | 122 N. EUCLID ST. #B
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City | SANTA ANA
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State | CA
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Zip | 92703-3029
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Country | US
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Telephone | 714-725-5768
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Fax | 714-554-7155
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA18279
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License Number State | CA
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