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General NPI Number Information
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NPI Number | 1992878870
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Entity Type | Organization
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Legal Business Name | DUYEN THI TRAN
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Dates
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Enumeration Date | 11/16/2006
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Last Update Date | 03/13/2008
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Provider Practice Location Address
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Address Line | 122 N EUCLID ST STE A
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City | SANTA ANA
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State | CA
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Zip | 92703-3029
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Country | US
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Telephone | 714-554-7155
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Fax | 714-554-7155
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Provider Business Mailing Address
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Address Line | 122 N EUCLID ST STE A
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City | SANTA ANA
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State | CA
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Zip | 92703-3029
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Country | US
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Telephone | 714-554-7155
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Fax | 714-554-7155
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Authorized Official
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Title or Position | PHARMACIST-IN-CHARGE
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Name | MRS. DUYEN THI TRAN
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Credential | RPH
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Telephone | 714-554-7155
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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 |
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License Number State |
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