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General NPI Number Information
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NPI Number | 1508277872
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Entity Type | Organization
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Legal Business Name | DZUNG TRAN MD LTD
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Dates
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Enumeration Date | 05/08/2014
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Last Update Date | 12/21/2016
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Provider Practice Location Address
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Address Line | 6960 S CIMARRON RD STE 100
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City | LAS VEGAS
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State | NV
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Zip | 89113-2182
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Country | US
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Telephone | 702-876-0186
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Fax | 702-876-0608
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Provider Business Mailing Address
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Address Line | PO BOX 400565
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City | LAS VEGAS
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State | NV
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Zip | 89140-0565
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Country | US
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Telephone | 702-876-0186
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Fax | 702-876-0608
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Authorized Official
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Title or Position | PRESIDENT
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Name | DZUNG V TRAN
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Credential | MD
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Telephone | 702-876-0186
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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