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General NPI Number Information
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NPI Number | 1154965648
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Entity Type | Organization
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Legal Business Name | B THUY LE MD P C
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Dates
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Enumeration Date | 10/29/2019
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Last Update Date | 03/02/2023
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Provider Practice Location Address
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Address Line | 594 BROADWAY RM 501
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City | NEW YORK
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State | NY
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Zip | 10012-3257
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Country | US
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Telephone | 212-518-1785
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Fax | 212-518-1782
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Provider Business Mailing Address
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Address Line | 594 BROADWAY RM 501
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City | NEW YORK
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State | NY
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Zip | 10012-3257
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Country | US
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Telephone | 212-518-1785
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Fax | 212-518-1782
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | B. THUY LE
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Credential | MD
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Telephone | 212-518-1785
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number |
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License Number State |
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