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General NPI Number Information
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NPI Number | 1356235337
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Entity Type | Organization
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Legal Business Name | JENNY TRAN, O.D., A PROFESSIONAL CORP.
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Dates
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Enumeration Date | 06/05/2025
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Last Update Date | 06/05/2025
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Provider Practice Location Address
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Address Line | 6880 S BUFFALO DR
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City | LAS VEGAS
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State | NV
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Zip | 89113-2384
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Country | US
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Telephone | 213-247-0261
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Fax |
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Provider Business Mailing Address
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Address Line | 8153 CALPENA AVE
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City | LAS VEGAS
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State | NV
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Zip | 89113-6667
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Country | US
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Telephone | 213-247-0261
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. JENNY TRAN
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Credential | OD
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Telephone | 213-247-0261
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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 |
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License Number State |
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