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General NPI Number Information
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NPI Number | 1376159954
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Entity Type | Individual
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Provider Name | AZSA LOREN MANIO TRAN OD
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Gender | Female
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Dates
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Enumeration Date | 09/19/2020
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Last Update Date | 10/23/2025
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Provider Practice Location Address
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Address Line | 1800 S LOOP 288 STE 205
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City | DENTON
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State | TX
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Zip | 76205-4807
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Country | US
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Telephone | 940-783-4746
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Fax |
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Provider Business Mailing Address
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Address Line | 3801 CIBOLA TRL
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City | CARROLLTON
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State | TX
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Zip | 75007-6283
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Country | US
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Telephone | 310-357-7358
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Fax |
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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 | 10086TG
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License Number State | TX
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