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General NPI Number Information
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NPI Number | 1518203652
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Entity Type | Individual
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Provider Name | HOAI-HUONG VIET TRAN PA-C
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Gender | Female
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Dates
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Enumeration Date | 12/18/2012
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Last Update Date | 01/11/2022
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Provider Practice Location Address
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Address Line | 3600 BROADWAY
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City | OAKLAND
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State | CA
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Zip | 94611-5730
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Country | US
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Telephone | 646-300-0277
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Fax |
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Provider Business Mailing Address
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Address Line | 1800 HARRISON ST FL 7
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City | OAKLAND
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State | CA
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Zip | 94612-3466
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Country | US
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Telephone | 646-300-0277
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 016292-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 54565
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License Number State | CA
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