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General NPI Number Information
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NPI Number | 1174951206
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Entity Type | Organization
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Legal Business Name | SUSAN L. TRAN, OD, INC
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Dates
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Enumeration Date | 10/29/2013
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Last Update Date | 04/08/2014
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Provider Practice Location Address
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Address Line | 8748 VALLEY BLVD SUITE J
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City | ROSEMEAD
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State | CA
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Zip | 91770-1763
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Country | US
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Telephone | 626-573-2020
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Fax | 626-800-3993
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Provider Business Mailing Address
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Address Line | 8748 VALLEY BLVD SUITE J
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City | ROSEMEAD
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State | CA
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Zip | 91770-1763
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Country | US
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Telephone | 626-573-2020
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Fax | 626-800-3993
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Authorized Official
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Title or Position | OPTOMETRIST/OWNER
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Name | DR. SUSAN LORRAINE TRAN
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Credential | OD
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Telephone | 323-793-7111
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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 | 14097
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License Number State | CA
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