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General NPI Number Information
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NPI Number | 1427357169
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Entity Type | Organization
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Legal Business Name | TRANSVISION EYECARE PLLC
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Dates
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Enumeration Date | 03/21/2011
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Last Update Date | 04/12/2011
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Provider Practice Location Address
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Address Line | 1486 DIKE ACCESS RD
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City | WOODLAND
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State | WA
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Zip | 98674-9359
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Country | US
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Telephone | 360-841-9135
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Fax | 360-225-3726
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Provider Business Mailing Address
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Address Line | 14583 SE NATALYA ST
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City | HAPPY VALLEY
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State | OR
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Zip | 97086-4203
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Country | US
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Telephone | 503-705-3222
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Fax | 360-225-3726
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Authorized Official
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Title or Position | OWNER
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Name | JENNIFER TRAN
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Credential | O.D
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Telephone | 360-841-9135
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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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