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General NPI Number Information
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NPI Number | 1942842240
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Entity Type | Individual
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Provider Name | HIEU TRAN PHARMD
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Gender | Male
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Dates
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Enumeration Date | 10/09/2019
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Last Update Date | 10/09/2019
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Provider Practice Location Address
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Address Line | 215 WHITESELL ST NW
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City | ORTING
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State | WA
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Zip | 98360-9329
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Country | US
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Telephone | 360-893-0843
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Fax |
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Provider Business Mailing Address
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Address Line | 23412 98TH AVE S
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City | KENT
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State | WA
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Zip | 98031-3165
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Country | US
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Telephone | 253-335-4537
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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 | PH60951380
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License Number State | WA
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