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General NPI Number Information
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NPI Number | 1639667884
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Entity Type | Individual
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Provider Name | ANNE LE TRAN RN
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Gender | Female
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Dates
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Enumeration Date | 04/24/2018
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Last Update Date | 01/25/2024
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Provider Practice Location Address
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Address Line | 4666 MCDERMOTT RD STE 100
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City | PLANO
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State | TX
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Zip | 75024-2819
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Country | US
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Telephone | 972-668-6868
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Fax | 972-668-1618
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Provider Business Mailing Address
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Address Line | 4413 VANDERPOOL DR
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City | PLANO
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State | TX
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Zip | 75024-3871
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Country | US
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Telephone | 972-672-6056
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F10231149
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 872790
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License Number State | TX
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