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General NPI Number Information
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NPI Number | 1114343977
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Entity Type | Organization
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Legal Business Name | JENNY TRAN O D & ASSOCIATES
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Dates
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Enumeration Date | 03/17/2014
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Last Update Date | 03/17/2014
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Provider Practice Location Address
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Address Line | 1412 CYPRESS CREEK PKWY STE B
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City | HOUSTON
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State | TX
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Zip | 77090-3312
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Country | US
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Telephone | 281-893-8027
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Fax | 281-893-8024
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Provider Business Mailing Address
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Address Line | 1412 CYPRESS CREEK PKWY STE B
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City | HOUSTON
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State | TX
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Zip | 77090-3312
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Country | US
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Telephone | 281-893-8027
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Fax | 281-893-8024
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Authorized Official
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Title or Position | OWNER.PRESIDENT
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Name | DR. JENNY T TRAN
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Credential | OD
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Telephone | 281-893-8027
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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 | 4886
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License Number State | TX
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