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General NPI Number Information
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NPI Number | 1578031845
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Entity Type | Individual
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Provider Name | DIANA PHILOAN LAM-TRAN PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 11/05/2018
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Last Update Date | 11/05/2018
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Provider Practice Location Address
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Address Line | 16899 W BERNARDO DR
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City | SAN DIEGO
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State | CA
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Zip | 92127-1603
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Country | US
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Telephone | 858-521-2265
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Fax |
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Provider Business Mailing Address
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Address Line | 10974 CAMINO RUIZ APT B
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City | SAN DIEGO
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State | CA
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Zip | 92126-5015
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Country | US
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Telephone | 925-852-1900
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT295564
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License Number State | CA
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