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General NPI Number Information
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NPI Number | 1790897320
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Entity Type | Individual
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Provider Name | FELIPE THOAI TRAN O.D.
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Gender | Male
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 02/07/2023
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Provider Practice Location Address
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Address Line | 5502 SAN BERNARDO AVE STE 100-A
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City | LAREDO
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State | TX
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Zip | 78041-3008
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Country | US
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Telephone | 956-712-3022
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Fax | 956-712-3022
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Provider Business Mailing Address
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Address Line | 5502 SAN BERNARDO AVE STE 100-A
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City | LAREDO
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State | TX
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Zip | 78041-3008
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Country | US
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Telephone | 956-712-3022
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Fax | 956-712-3022
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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 | 4732-T
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License Number State | TX
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