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General NPI Number Information
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NPI Number | 1548269087
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Entity Type | Individual
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Provider Name | JEAN G. TRAN M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/18/2005
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Last Update Date | 07/16/2024
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Provider Practice Location Address
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Address Line | 10402 WESTMINSTER AVE SUITE 100C
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City | GARDEN GROVE
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State | CA
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Zip | 92843
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Country | US
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Telephone | 714-638-1358
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Fax | 714-741-0693
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Provider Business Mailing Address
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Address Line | 13031 KERRY ST
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City | GARDEN GROVE
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State | CA
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Zip | 92844-1638
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Country | US
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Telephone | 657-233-0344
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Fax | 872-241-0464
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 022786
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | C175369
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License Number State | CA
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