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General NPI Number Information
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NPI Number | 1811990021
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Entity Type | Individual
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Provider Name | MICHAEL Q TRAN DPM
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Gender | Male
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Dates
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Enumeration Date | 05/23/2005
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Last Update Date | 08/10/2021
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Provider Practice Location Address
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Address Line | 2100 FM 2590 STE 200
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City | CANYON
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State | TX
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Zip | 79015-1982
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Country | US
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Telephone | 806-656-5006
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Fax | 806-656-5008
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Provider Business Mailing Address
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Address Line | 2100 FM 2590 STE 200
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City | CANYON
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State | TX
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Zip | 79015-1982
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Country | US
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Telephone | 806-656-5006
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Fax | 806-656-5008
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 12-00325
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 3075
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License Number State | TX
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