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General NPI Number Information
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NPI Number | 1831811033
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Entity Type | Individual
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Provider Name | KIM-THOA TRAN RN
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Gender | Female
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Dates
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Enumeration Date | 09/14/2022
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Last Update Date | 09/14/2022
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Provider Practice Location Address
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Address Line | 1116 SUMMIT AVE
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City | SEATTLE
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State | WA
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Zip | 98101-2831
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Country | US
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Telephone | 206-323-0930
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Fax |
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Provider Business Mailing Address
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Address Line | 20015 104TH PL SE
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City | KENT
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State | WA
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Zip | 98031-1563
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Country | US
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Telephone | 253-856-0191
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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 | 163WA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Registered Nurse
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License Number | 00098007
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License Number State | WA
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