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General NPI Number Information
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NPI Number | 1649416686
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Entity Type | Organization
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Legal Business Name | HOANG YEN OD
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Dates
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Enumeration Date | 12/22/2008
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Last Update Date | 04/17/2009
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Provider Practice Location Address
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Address Line | 24120 NORTHWEST FREEWAY SUITE 600
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City | CYPRESS
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State | TX
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Zip | 77429
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Country | US
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Telephone | 281-758-3083
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Fax | 281-758-3084
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Provider Business Mailing Address
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Address Line | 24120 NORTHWEST FREEWAY SUITE 600
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City | CYPRESS
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State | TX
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Zip | 77429
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Country | US
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Telephone | 281-758-3083
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Fax | 281-758-3084
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Authorized Official
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Title or Position | DOCTOR OF OPTOMETRY
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Name | YEN H TRAN
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Credential | O.D.
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Telephone | 281-758-3083
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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 | 4887T
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License Number State | TX
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