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General NPI Number Information
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NPI Number | 1689867848
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Entity Type | Organization
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Legal Business Name | ANTHONY M. TRAN
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Dates
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Enumeration Date | 08/21/2007
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Last Update Date | 08/21/2007
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Provider Practice Location Address
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Address Line | 1240 S ABEL ST
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City | MILPITAS
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State | CA
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Zip | 95035-6265
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Country | US
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Telephone | 408-263-4747
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Fax | 408-263-4545
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Provider Business Mailing Address
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Address Line | 1240 S ABEL ST
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City | MILPITAS
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State | CA
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Zip | 95035-6265
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Country | US
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Telephone | 408-263-4747
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Fax | 408-263-4545
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Authorized Official
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Title or Position | DOCTOR OF CHIROPRACTIC
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Name | DR. ANTHONY MY TRAN
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Credential | D.C.
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Telephone | 408-263-4747
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC024113
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License Number State | CA
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