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General NPI Number Information
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NPI Number | 1942438577
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Entity Type | Organization
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Legal Business Name | TRUC C. TRAN, MD PA
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Dates
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Enumeration Date | 06/22/2009
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Last Update Date | 12/06/2024
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Provider Practice Location Address
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Address Line | 1175 SPRING CENTRE SOUTH BLVD STE 1020
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32714-5000
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Country | US
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Telephone | 321-221-8522
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Fax | 407-297-9801
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Provider Business Mailing Address
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Address Line | 1175 SPRING CENTRE SOUTH BLVD STE 1020
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32714-5000
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Country | US
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Telephone | 321-221-8522
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Fax | 407-297-9801
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Authorized Official
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Title or Position | FAMILY PRACTICE
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Name | DR. DEANNA H TRAN
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Credential | DO
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Telephone | 407-297-4068
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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