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General NPI Number Information
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NPI Number | 1174616866
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Entity Type | Organization
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Legal Business Name | BETHLEHEM INFECTIOUS DISEASES ASSOCIATES LLC
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 801 OSTRUM STREET
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City | BETHLEHEM
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State | PA
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Zip | 18015
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Country | US
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Telephone | 610-954-4000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3667
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City | ALLENTOWN
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State | PA
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Zip | 18106-0667
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Country | US
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Telephone | 610-289-2980
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Fax | 610-289-2990
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Authorized Official
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Title or Position | PRESIDENT
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Name | THONG P LE
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Credential | MD
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Telephone | 610-954-4000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number |
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License Number State |
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