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General NPI Number Information
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NPI Number | 1073791000
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Entity Type | Organization
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Legal Business Name | CENTER FOR DIGESTIVE AND LIVER DISEASES
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Dates
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Enumeration Date | 01/31/2008
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Last Update Date | 11/02/2016
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Provider Practice Location Address
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Address Line | 20320 NORTHWEST FREEWAY, SUITE 400
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City | HOUSTON
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State | TX
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Zip | 77065
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Country | US
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Telephone | 281-469-1536
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Fax | 281-469-1534
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Provider Business Mailing Address
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Address Line | 20320 NORTHWEST FREEWAY, SUITE 400
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City | HOUSTON
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State | TX
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Zip | 77065
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Country | US
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Telephone | 281-469-1536
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Fax | 281-469-1534
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Authorized Official
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Title or Position | PRESIDENT
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Name | THANG LE
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Credential | M.D.
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Telephone | 832-428-2353
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | K7792
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License Number State | TX
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