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General NPI Number Information
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NPI Number | 1720636384
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Entity Type | Individual
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Provider Name | BRIAN VINH CONG TRAN PHARMD
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Gender | Male
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Dates
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Enumeration Date | 08/27/2019
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Last Update Date | 08/27/2019
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Provider Practice Location Address
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Address Line | 791 N KROCKS RD
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City | ALLENTOWN
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State | PA
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Zip | 18106-9046
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Country | US
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Telephone | 484-273-7056
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Fax |
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Provider Business Mailing Address
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Address Line | 3606 CREAMERY RD
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City | BENSALEM
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State | PA
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Zip | 19020-4706
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP453621
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License Number State | PA
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