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General NPI Number Information
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NPI Number | 1558366021
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Entity Type | Individual
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Provider Name | HONG-NHUNG TRAN MD
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Gender | Female
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Dates
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Enumeration Date | 06/20/2005
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Last Update Date | 06/15/2017
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Provider Practice Location Address
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Address Line | 1820 41ST AVE STE D
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City | CAPITOLA
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State | CA
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Zip | 95010-2516
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Country | US
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Telephone | 831-476-3000
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Fax | 831-476-9009
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Provider Business Mailing Address
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Address Line | 1667 DOMINICAN WAY SUITE 230
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City | SANTA CRUZ
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State | CA
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Zip | 95065
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | A98143
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License Number State | CA
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