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General NPI Number Information
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NPI Number | 1730758186
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Entity Type | Individual
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Provider Name | DAVID THANH TRAN PHARMD
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Gender | Male
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Dates
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Enumeration Date | 06/21/2021
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Last Update Date | 09/28/2021
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Provider Practice Location Address
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Address Line | 9300 E GREGORY BLVD STE A
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City | RAYTOWN
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State | MO
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Zip | 64133-6523
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Country | US
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Telephone | 816-608-8139
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Fax | 855-813-5433
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Provider Business Mailing Address
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Address Line | 7500 METCALF AVE
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City | OVERLAND PARK
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State | KS
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Zip | 66204-2926
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Country | US
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Telephone | 913-318-7447
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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 | 1-103121
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 2017026898
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License Number State | MO
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