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General NPI Number Information
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NPI Number | 1932573987
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Entity Type | Individual
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Provider Name | TRANG THAO LY MBBS FRACP PHD
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Gender | Female
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Dates
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Enumeration Date | 11/13/2015
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Last Update Date | 02/02/2016
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Provider Practice Location Address
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Address Line | 780 WELCH RD MAIL CODE 5776
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City | PALO ALTO
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State | CA
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Zip | 94304-1516
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Country | US
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Telephone | 650-215-0732
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Fax |
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Provider Business Mailing Address
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Address Line | 780 WELCH RD MAIL CODE 5776
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City | PALO ALTO
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State | CA
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Zip | 94304-1516
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Country | US
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Telephone | 650-215-0732
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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 | 2080P0205X
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Taxonomy Name | Pediatric Endocrinology Physician
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License Number | F410
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License Number State | CA
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