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General NPI Number Information
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NPI Number | 1770692733
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Entity Type | Individual
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Provider Name | DR. THUONG P-H TRAN
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Gender | Female
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 11301 WILSHIRE BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90073-1003
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Country | US
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Telephone | 310-472-3711
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Fax | 310-268-3602
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Provider Business Mailing Address
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Address Line | 17631 HARVEST AVE
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City | CERRITOS
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State | CA
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Zip | 90703-5512
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Country | US
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Telephone | 562-522-2822
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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 | RPH 56115
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License Number State | CA
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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 | 16202
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License Number State | NV
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