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General NPI Number Information
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NPI Number | 1881967875
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Entity Type | Individual
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Provider Name | NINA TRAN PHARM. D
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Gender | Female
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Dates
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Enumeration Date | 02/21/2012
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Last Update Date | 07/12/2012
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Provider Practice Location Address
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Address Line | 120 W PARKRIDGE AVE
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City | CORONA
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State | CA
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Zip | 92880-1450
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Country | US
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Telephone | 951-278-1852
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Fax | 951-278-1518
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Provider Business Mailing Address
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Address Line | 120 W PARKRIDGE AVE
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City | CORONA
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State | CA
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Zip | 92880-1450
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Country | US
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Telephone | 949-257-3748
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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 | 55935
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License Number State | CA
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