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General NPI Number Information
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NPI Number | 1942748330
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Entity Type | Individual
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Provider Name | PRISCILLA SUE TRAN
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Gender | Female
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Dates
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Enumeration Date | 02/06/2017
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Last Update Date | 03/29/2024
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Provider Practice Location Address
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Address Line | 15500 SAND CANYON AVE STE 100
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City | IRVINE
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State | CA
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Zip | 92618-7708
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Country | US
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Telephone | 949-726-0600
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Fax |
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Provider Business Mailing Address
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Address Line | 15500 SAND CANYON AVE STE 100
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City | IRVINE
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State | CA
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Zip | 92618-7708
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN218706
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95007515
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN95142259
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License Number State | CA
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