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General NPI Number Information
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NPI Number | 1902127517
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Entity Type | Individual
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Provider Name | MINH TRAN PHARM.D
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Gender | Male
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Dates
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Enumeration Date | 06/17/2010
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Last Update Date | 06/17/2010
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Provider Practice Location Address
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Address Line | 4046 S CENTINELA AVE
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City | LOS ANGELES
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State | CA
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Zip | 90066-4907
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Country | US
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Telephone | 310-391-8259
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 12102
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City | WESTMINSTER
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State | CA
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Zip | 92685-2102
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Country | US
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Telephone |
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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 | 118443
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License Number State | MN
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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 | 60969
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License Number State | CA
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