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General NPI Number Information
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NPI Number | 1770646085
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Entity Type | Individual
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Provider Name | TRAN BAO QUAN DO
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Gender | Female
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Dates
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Enumeration Date | 12/18/2006
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Last Update Date | 06/30/2009
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Provider Practice Location Address
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Address Line | 4003 KRISTIN LEE CT
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City | HOUSTON
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State | TX
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Zip | 77014-1876
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Country | US
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Telephone | 409-939-4569
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Fax |
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Provider Business Mailing Address
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Address Line | 8901 BOONE ROAD
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City | HOUSTON
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State | TX
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Zip | 77099
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Country | US
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Telephone | 409-939-4569
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | M3061
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License Number State | TX
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