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General NPI Number Information
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NPI Number | 1023332707
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Entity Type | Individual
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Provider Name | ANSON LE PHAM M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/24/2010
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 10432 PATRIOT HWY
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City | FREDERICKSBURG
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State | VA
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Zip | 22408-2628
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Country | US
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Telephone | 804-675-6746
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Fax |
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Provider Business Mailing Address
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Address Line | 10432 PATRIOT HWY
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City | FREDERICKSBURG
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State | VA
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Zip | 22408-2628
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Country | US
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Telephone | 804-675-6746
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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 | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number | 0101254119
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | 0101254119
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number | 38154
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License Number State | SC
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