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General NPI Number Information
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NPI Number | 1679809263
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Entity Type | Individual
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Provider Name | THAI GIA DIEU TRAN PHYSICIAN ASSISTANT
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Gender | Female
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Dates
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Enumeration Date | 11/02/2009
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Last Update Date | 04/24/2025
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Provider Practice Location Address
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Address Line | 934 S EUCLID ST
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City | ANAHEIM
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State | CA
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Zip | 92802-1523
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Country | US
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Telephone | 714-254-0224
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Fax | 714-254-0234
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Provider Business Mailing Address
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Address Line | 934 S EUCLID ST
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City | ANAHEIM
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State | CA
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Zip | 92802-1523
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Country | US
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Telephone | 714-254-0224
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Fax | 714-254-0234
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA20656
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA20656
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License Number State | CA
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