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General NPI Number Information
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NPI Number | 1801260088
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Entity Type | Individual
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Provider Name | THU THAO TRAN RPH
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Gender | Female
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Dates
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Enumeration Date | 11/25/2015
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Last Update Date | 11/25/2015
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Provider Practice Location Address
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Address Line | 416 ALVARADO ST
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City | MONTEREY
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State | CA
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Zip | 93940-2711
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Country | US
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Telephone | 831-644-9057
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Fax |
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Provider Business Mailing Address
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Address Line | 2600 CORDE TERRA CIR APT 5213
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City | SAN JOSE
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State | CA
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Zip | 95111-1940
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Country | US
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Telephone | 408-242-9595
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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 | 74143
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License Number State | CA
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