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General NPI Number Information
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NPI Number | 1770241879
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Entity Type | Individual
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Provider Name | ELAINE TRAN
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Gender | Female
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Dates
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Enumeration Date | 12/06/2021
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Last Update Date | 02/13/2024
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Provider Practice Location Address
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Address Line | 901 WILSHIRE BLVD FL 3
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City | SANTA MONICA
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State | CA
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Zip | 90401-1854
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Country | US
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Telephone | 310-829-8903
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Fax | 424-212-5933
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Provider Business Mailing Address
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Address Line | 687 S HOBART BLVD PH 61
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City | LOS ANGELES
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State | CA
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Zip | 90005-4255
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Country | US
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Telephone | 650-534-8996
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95019253
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 95019253
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License Number State | CA
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