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General NPI Number Information
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NPI Number | 1497228803
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Entity Type | Individual
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Provider Name | THAO THI THANH TRAN RPH
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Gender | Female
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Dates
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Enumeration Date | 01/08/2019
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Last Update Date | 01/08/2019
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Provider Practice Location Address
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Address Line | 1500 FIRST ST
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City | LIVERMORE
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State | CA
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Zip | 94550-4302
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Country | US
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Telephone | 925-455-5580
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Fax |
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Provider Business Mailing Address
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Address Line | 237 SUDAN LOOP
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City | PACHECO
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State | CA
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Zip | 94553-5249
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Country | US
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Telephone | 925-917-1605
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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 | 77102
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License Number State | CA
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