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General NPI Number Information
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NPI Number | 1619688033
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Entity Type | Organization
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Legal Business Name | KWONG AND TRAN, OPTOMETRISTS, AN OPTOMETRIC CORPORATION
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Dates
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Enumeration Date | 12/06/2022
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Last Update Date | 12/06/2022
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Provider Practice Location Address
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Address Line | 1599 BERRYESSA RD STE 30
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City | SAN JOSE
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State | CA
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Zip | 95133-3301
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Country | US
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Telephone | 510-881-3633
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Fax |
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Provider Business Mailing Address
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Address Line | 2406 CLOVER ST
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City | UNION CITY
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State | CA
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Zip | 94587-5320
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Country | US
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Telephone | 510-881-3633
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. IRIS C KWONG
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Credential | OD
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Telephone | 510-881-3633
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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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