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General NPI Number Information
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NPI Number | 1588984785
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Entity Type | Individual
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Provider Name | ANH THU TRAN CAMANA MD
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Gender | Female
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Dates
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Enumeration Date | 06/10/2010
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Last Update Date | 10/06/2023
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Provider Practice Location Address
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Address Line | 1721 S. STEPHENSON AVE
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City | IRON MOUNTAIN
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State | MI
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Zip | 49801
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Country | US
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Telephone | 323-442-5710
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Fax |
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Provider Business Mailing Address
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Address Line | N3814 S GRAND OAK DR
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City | IRON MOUNTAIN
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State | MI
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Zip | 49801
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Country | US
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Telephone | 323-442-5710
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 4301110243
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 0116023014
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | A131534
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License Number State | CA
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