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General NPI Number Information
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NPI Number | 1952323669
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Entity Type | Individual
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Provider Name | MINH CHAU JOE TRAN MD
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Gender | Male
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Dates
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Enumeration Date | 07/24/2006
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Last Update Date | 06/27/2019
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Provider Practice Location Address
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Address Line | 11234 ANDERSON ST
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City | LOMA LINDA
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State | CA
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Zip | 92354
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Country | US
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Telephone | 909-558-6429
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Fax |
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Provider Business Mailing Address
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Address Line | 13114 NORCIA DR
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91739-9156
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Country | US
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Telephone | 201-873-3853
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 25MA07853800
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License Number State | NJ
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