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General NPI Number Information
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NPI Number | 1679977417
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Entity Type | Individual
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Provider Name | TRAN TU HUYNH D.O.
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Gender | Female
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Dates
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Enumeration Date | 10/21/2014
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Last Update Date | 07/02/2020
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Provider Practice Location Address
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Address Line | 101 DATES DR
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City | ITHACA
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State | NY
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Zip | 14850-1342
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Country | US
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Telephone | 916-402-0306
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Fax |
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Provider Business Mailing Address
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Address Line | 101 THOMPSON ST APT 27
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City | NEW YORK
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State | NY
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Zip | 10012-3779
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Country | US
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Telephone |
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 305023
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License Number State | NY
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