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General NPI Number Information
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NPI Number | 1972365815
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Entity Type | Individual
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Provider Name | ANDREW QUANG DUY TRAN PHARMD.
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Gender | Male
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Dates
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Enumeration Date | 01/25/2024
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Last Update Date | 01/25/2024
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Provider Practice Location Address
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Address Line | 2831 BELLE CHASSE HWY
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City | TERRYTOWN
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State | LA
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Zip | 70056-7132
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Country | US
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Telephone | 504-394-0626
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Fax |
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Provider Business Mailing Address
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Address Line | 10905 N HARDY ST
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City | NEW ORLEANS
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State | LA
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Zip | 70127-2837
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Country | US
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Telephone | 504-400-0753
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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 | PST.025114
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License Number State | LA
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