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General NPI Number Information
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NPI Number | 1942793336
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Entity Type | Individual
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Provider Name | JACQUELINE HIROKO TRAN O.D.
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Gender | Female
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Dates
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Enumeration Date | 06/11/2018
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Last Update Date | 12/27/2021
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Provider Practice Location Address
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Address Line | 22312 EL PASEO STE D
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City | RANCHO SANTA MARGARITA
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State | CA
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Zip | 92688-5803
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Country | US
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Telephone | 495-896-1719
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Fax | 949-589-0657
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Provider Business Mailing Address
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Address Line | 22312 EL PASEO STE D
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City | RANCHO SANTA MARGARITA
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State | CA
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Zip | 92688-5803
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Country | US
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Telephone | 949-589-6171
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Fax |
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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 | 10832957-9934
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 1015
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License Number State | NV
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Taxonomy #3
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 34130
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License Number State | CA
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