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General NPI Number Information
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NPI Number | 1912341116
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Entity Type | Organization
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Legal Business Name | NGOC H. TRAN, O.D., INC.
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Dates
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Enumeration Date | 04/18/2013
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Last Update Date | 04/18/2013
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Provider Practice Location Address
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Address Line | 8942 TAMPA AVE
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City | NORTHRIDGE
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State | CA
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Zip | 91324-3521
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Country | US
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Telephone | 818-993-1606
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Fax | 818-349-5516
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Provider Business Mailing Address
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Address Line | 8942 TAMPA AVE
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City | NORTHRIDGE
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State | CA
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Zip | 91324-3521
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Country | US
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Telephone | 818-993-1606
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Fax | 818-349-5516
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. NGOC TRAN
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Credential | O.D.
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Telephone | 714-312-8128
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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 | 14161
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License Number State | CA
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