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General NPI Number Information
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NPI Number | 1609956838
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Entity Type | Individual
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Provider Name | TUYEN T TRAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/16/2006
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Last Update Date | 01/25/2016
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Provider Practice Location Address
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Address Line | 3439 BUCKHORN DR SUITE 100
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City | LEXINGTON
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State | KY
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Zip | 40515-1716
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Country | US
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Telephone | 859-368-9874
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Fax |
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Provider Business Mailing Address
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Address Line | 216 COLONIAL DR
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City | VERSAILLES
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State | KY
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Zip | 40383-9387
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Country | US
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Telephone | 859-368-9874
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 34583-020
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 207RA0401X
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Taxonomy Name | Addiction Medicine (Internal Medicine) Physician
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License Number | 40429
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License Number State | KY
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