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General NPI Number Information
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NPI Number | 1003055716
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Entity Type | Individual
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Provider Name | TUYEN PHUONG TRAN O.D.
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Gender | Female
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Dates
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Enumeration Date | 02/19/2009
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Last Update Date | 09/17/2009
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Provider Practice Location Address
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Address Line | 9598 ROWLETT RD
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City | HOUSTON
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State | TX
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Zip | 77075-2414
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Country | US
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Telephone | 713-947-3771
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Fax |
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Provider Business Mailing Address
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Address Line | 10503 RIVERBEND CANYON CT
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City | HOUSTON
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State | TX
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Zip | 77089-2583
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Country | US
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Telephone | 281-997-9155
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 06627TG
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License Number State | TX
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