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NPI 1588847057

NPI 1588847057 : TRANSVISION, PC : VICTORIA, TX

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General NPI Number Information
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    NPI Number           |    1588847057
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    Entity Type          |    Organization 
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    Legal Business Name  |    TRANSVISION, PC 
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Dates
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    Enumeration Date     |    12/07/2007
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    Last Update Date     |    12/07/2007
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Provider Practice Location Address
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    Address Line         |    8306 N NAVARRO ST SUITE B
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    City                 |    VICTORIA
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    State                |    TX
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    Zip                  |    77904-2600
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    Country              |    US
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    Telephone            |    361-573-4884
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    Fax                  |    361-570-0077
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Provider Business Mailing Address
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    Address Line         |    8306 N NAVARRO ST SUITE B
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    City                 |    VICTORIA
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    State                |    TX
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    Zip                  |    77904-2600
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    Country              |    US
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    Telephone            |    361-573-4884
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    Fax                  |    361-570-0077
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Authorized Official
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    Title or Position    |    OPTOMERTRIST/OWNER
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    Name                 |    DR. EMILY  TRAN-NGUYEN 
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    Credential           |    OD
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    Telephone            |    361-573-4884
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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       |    4885T
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    License Number State |    TX
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