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General NPI Number Information
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NPI Number | 1144344540
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Entity Type | Individual
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Provider Name | TRINA TRINH TRAN O.D.
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Gender | Female
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 06/29/2021
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Provider Practice Location Address
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Address Line | 14140 MERIDIAN PKWY STE 101
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City | RIVERSIDE
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State | CA
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Zip | 92518-3043
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Country | US
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Telephone | 951-243-3337
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Fax | 951-243-6868
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Provider Business Mailing Address
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Address Line | 14140 MERIDIAN PKWY STE 101
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City | RIVERSIDE
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State | CA
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Zip | 92518-3043
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Country | US
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Telephone | 951-243-3337
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Fax | 951-243-6868
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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 | 12205T
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License Number State | CA
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