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General NPI Number Information
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NPI Number | 1003132457
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Entity Type | Organization
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Legal Business Name | TUAN LE, M.D. A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 04/09/2010
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Last Update Date | 04/09/2010
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Provider Practice Location Address
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Address Line | 1569 LEXANN AVE SUITE 122
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City | SAN JOSE
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State | CA
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Zip | 95121-1794
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Country | US
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Telephone | 408-531-1555
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Fax |
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Provider Business Mailing Address
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Address Line | 1569 LEXANN AVE SUITE 122
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City | SAN JOSE
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State | CA
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Zip | 95121-1794
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Country | US
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Telephone | 408-531-1555
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. TUAN LE
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Credential | M.D.
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Telephone | 408-531-1555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | A49909
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License Number State | CA
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