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General NPI Number Information
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NPI Number | 1992118517
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Entity Type | Individual
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Provider Name | JIM TRAN PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 06/11/2014
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Last Update Date | 06/11/2014
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Provider Practice Location Address
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Address Line | 2075 E FLAMINGO RD
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City | LAS VEGAS
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State | NV
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Zip | 89119-5188
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Country | US
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Telephone | 702-894-5665
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Fax | 702-369-7506
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Provider Business Mailing Address
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Address Line | 7836 SLEEPING LILY DR
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City | LAS VEGAS
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State | NV
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Zip | 89178-8283
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Country | US
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Telephone | 816-304-8564
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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 | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | 17141
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License Number State | NV
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