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General NPI Number Information
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NPI Number | 1720274731
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Entity Type | Organization
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Legal Business Name | BAO Q. TRAN, MD, INC.
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Dates
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Enumeration Date | 09/24/2007
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Last Update Date | 09/24/2007
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Provider Practice Location Address
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Address Line | 2901 W MACARTHUR BLVD SUITE 107
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City | SANTA ANA
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State | CA
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Zip | 92704-6910
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Country | US
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Telephone | 714-210-2340
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Fax | 714-210-2622
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Provider Business Mailing Address
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Address Line | 2901 W MACARTHUR BLVD SUITE 107
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City | SANTA ANA
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State | CA
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Zip | 92704-6910
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Country | US
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Telephone | 714-210-2340
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Fax | 714-210-2622
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Authorized Official
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Title or Position | OWNER
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Name | DR. BAO Q TRAN
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Credential | MD
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Telephone | 714-336-1264
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | A90007
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License Number State | CA
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