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General NPI Number Information
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NPI Number | 1578659447
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Entity Type | Individual
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Provider Name | NINH XUAN TRAN MD
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Gender | Male
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Dates
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Enumeration Date | 10/05/2006
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Last Update Date | 09/12/2016
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Provider Practice Location Address
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Address Line | 4947 N WINTHROP AVE ARGYLE WINTHROP MEDICAL CENTER
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City | CHICAGO
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State | IL
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Zip | 60640-3607
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Country | US
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Telephone | 773-935-9969
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Fax | 773-989-9180
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Provider Business Mailing Address
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Address Line | 4947 N WINTHROP AVE ARGYLE WINTHROP MEDICAL CENTER
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City | CHICAGO
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State | IL
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Zip | 60640-3607
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Country | US
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Telephone | 773-935-9969
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Fax | 773-989-9180
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 036061453
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | 036061453
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 036-061-453
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License Number State | IL
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