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General NPI Number Information
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NPI Number | 1013005032
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Entity Type | Individual
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Provider Name | JOHN NGUYEN LE D.P.T
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Gender | Male
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Dates
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Enumeration Date | 10/11/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3414 OLANDWOOD CT
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City | OLNEY
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State | MD
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Zip | 20832-1384
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Country | US
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Telephone | 301-774-0624
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Fax | 301-774-4545
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Provider Business Mailing Address
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Address Line | 7315 OLIVER ST
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City | LANHAM
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State | MD
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Zip | 20706-1229
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Country | US
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Telephone |
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number |
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License Number State |
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