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General NPI Number Information
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NPI Number | 1760602064
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Entity Type | Individual
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Provider Name | NGHIA VAN TRAN MD
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Gender | Male
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Dates
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Enumeration Date | 04/27/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 355 HARVEY AVE
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City | GREENSBURG
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State | PA
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Zip | 15601-1911
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Country | US
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Telephone | 724-836-5100
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Fax | 800-359-9954
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Provider Business Mailing Address
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Address Line | 284 RIDGEVIEW CIRCLE
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City | BLAIRSVILLE
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State | PA
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Zip | 15717-1161
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Country | US
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Telephone | 724-459-6686
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | MD030438E
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License Number State | PA
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