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General NPI Number Information
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NPI Number | 1689823809
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Entity Type | Organization
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Legal Business Name | THUY H. TRAN, O.D., INC.
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Dates
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Enumeration Date | 09/11/2008
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Last Update Date | 11/16/2011
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Provider Practice Location Address
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Address Line | 12549 FOOTHILL BLVD
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91739-9317
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Country | US
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Telephone | 909-463-0785
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Fax | 909-463-6071
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Provider Business Mailing Address
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Address Line | 12549 FOOTHILL BLVD
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91739-9317
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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 | PRESIDENT/MANANGING DOCTOR
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Name | THUY HANG TRAN
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Credential | O.D.
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Telephone | 909-463-0785
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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 | 12868T
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License Number State | CA
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