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General NPI Number Information
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NPI Number | 1548136302
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Entity Type | Individual
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Provider Name | KENNY TIEN TRAN
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Gender |
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Dates
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Enumeration Date | 10/16/2025
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Last Update Date | 10/16/2025
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Provider Practice Location Address
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Address Line | 2650 PEARLAND PKWY STE 126
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City | PEARLAND
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State | TX
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Zip | 77581-5355
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Country | US
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Telephone | 713-575-6225
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Fax |
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Provider Business Mailing Address
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Address Line | 10335 KENNEWICK DR
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City | HOUSTON
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State | TX
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Zip | 77064-5173
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Country | US
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Telephone |
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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 | 11554TG
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License Number State | TX
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