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General NPI Number Information
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NPI Number | 1508737511
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Entity Type | Individual
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Provider Name | TRANG NGUYEN PA
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Gender | Female
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Dates
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Enumeration Date | 09/15/2025
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 849 ALMAR AVE STE C PMB # 462
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City | SANTA CRUZ
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State | CA
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Zip | 95060-5848
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Country | US
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Telephone | 972-322-8727
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Fax |
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Provider Business Mailing Address
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Address Line | 849 ALMAR AVE STE C PMB # 462
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City | SANTA CRUZ
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State | CA
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Zip | 95060-5848
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA03725
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA66899
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License Number State | CA
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