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General NPI Number Information
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NPI Number | 1558470344
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Entity Type | Individual
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Provider Name | DAI TRAN VO M.D
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Gender | Female
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Dates
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Enumeration Date | 08/29/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | US ARMY HEALTH CLINIC - GRAFENWOEHR CMR 415, UNIT 28130
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City | APO
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State | AE
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Zip | 09114
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Country | US
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Telephone | 011499641837152
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Fax | 011499641836639
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Provider Business Mailing Address
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Address Line | CMR 411, BOX 4026
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City | APO
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State | AE
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Zip | 09112
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Country | US
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Telephone | 011499662416386
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 01059981A
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License Number State | IN
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