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General NPI Number Information
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NPI Number | 1639366966
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Entity Type | Organization
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Legal Business Name | HAI TRAN, M.D., INC.
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Dates
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Enumeration Date | 10/01/2007
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Last Update Date | 10/07/2008
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Provider Practice Location Address
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Address Line | 12611 HESPERIA RD SUITE A
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City | VICTORVILLE
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State | CA
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Zip | 92395-8307
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Country | US
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Telephone | 760-951-7762
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Fax | 760-951-7134
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Provider Business Mailing Address
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Address Line | 12611 HESPERIA RD SUITE A
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City | VICTORVILLE
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State | CA
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Zip | 92395-8307
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Country | US
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Telephone | 760-951-7762
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Fax | 760-951-7134
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Authorized Official
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Title or Position | C.E.O.
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Name | HAI TRAN
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Credential | M.D.
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Telephone | 760-951-7762
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | G083905
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License Number State | CA
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