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General NPI Number Information
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NPI Number | 1215280888
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Entity Type | Organization
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Legal Business Name | YEN M. TRAN, O.D.
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Dates
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Enumeration Date | 10/19/2012
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Last Update Date | 10/19/2012
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Provider Practice Location Address
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Address Line | 50 WORCESTER RD # 60 C/O PEARLE VISION
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City | FRAMINGHAM
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State | MA
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Zip | 01702-5361
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Country | US
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Telephone | 508-879-9444
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Fax | 508-879-4344
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Provider Business Mailing Address
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Address Line | 50 WORCESTER RD # 60 C/O PEARLE VISION
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City | FRAMINGHAM
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State | MA
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Zip | 01702-5361
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Country | US
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Telephone | 508-879-9444
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Fax | 508-879-4344
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Authorized Official
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Title or Position | OPTOMETRIST/OWNER
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Name | DR. YEN M TRAN
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Credential | O.D.
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Telephone | 617-270-3256
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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 | 4269
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License Number State | MA
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