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General NPI Number Information
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NPI Number | 1952983892
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Entity Type | Individual
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Provider Name | HAN TRAN
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Gender | Female
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Dates
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Enumeration Date | 04/21/2021
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Last Update Date | 09/19/2022
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Provider Practice Location Address
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Address Line | 26506 BOUQUET CANYON RD
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City | SAUGUS
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State | CA
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Zip | 91350-2300
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Country | US
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Telephone | 661-297-2020
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Fax |
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Provider Business Mailing Address
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Address Line | 134 AMBER SKY
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City | IRVINE
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State | CA
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Zip | 92618-4800
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Country | US
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Telephone | 949-241-3432
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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 | 35310
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License Number State | CA
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