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General NPI Number Information
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NPI Number | 1437527272
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Entity Type | Organization
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Legal Business Name | TK EYE ASSOCIATES PLLC
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Dates
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Enumeration Date | 09/10/2015
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Last Update Date | 09/10/2015
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Provider Practice Location Address
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Address Line | 3201 PRESTON RD
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City | FRISCO
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State | TX
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Zip | 75034-9446
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Country | US
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Telephone | 469-888-6956
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Fax | 972-668-6112
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Provider Business Mailing Address
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Address Line | 3201 PRESTON RD
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City | FRISCO
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State | TX
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Zip | 75034-9446
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Country | US
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Telephone | 469-888-6956
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Fax | 972-668-6112
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Authorized Official
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Title or Position | OWNER
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Name | THIEN-KY OLIVER TRAN
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Credential | MD
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Telephone | 469-888-6956
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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 | 8156TG
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License Number State | TX
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