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General NPI Number Information
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NPI Number | 1962646661
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Entity Type | Organization
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Legal Business Name | HANG ANH TRAN OD PA
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Dates
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Enumeration Date | 04/24/2009
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Last Update Date | 04/24/2009
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Provider Practice Location Address
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Address Line | 6626 FM 1960 RD E STE B
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City | HUMBLE
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State | TX
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Zip | 77346-2712
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Country | US
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Telephone | 832-445-0011
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Fax | 832-445-0011
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Provider Business Mailing Address
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Address Line | 9118 STONEY LAKE DR
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City | HOUSTON
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State | TX
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Zip | 77064-7627
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Country | US
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Telephone | 281-469-2198
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. HANG TRAN
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Credential | OD
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Telephone | 832-766-9841
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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 | 6653TG
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License Number State | TX
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