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General NPI Number Information
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NPI Number | 1962455733
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Entity Type | Individual
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Provider Name | KHA H TRAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/19/2006
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Last Update Date | 08/23/2013
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Provider Practice Location Address
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Address Line | 1001 BELLEFONTAINE AVE
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City | LIMA
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State | OH
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Zip | 45804-2800
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Country | US
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Telephone | 419-998-4455
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Fax | 419-998-4586
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Provider Business Mailing Address
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Address Line | 951 COMMERCE PKWY SUITE 101
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City | LIMA
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State | OH
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Zip | 45804-4040
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Country | US
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Telephone | 419-998-4575
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Fax | 419-998-4586
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 35084778
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License Number State | OH
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