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General NPI Number Information
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NPI Number | 1194112417
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Entity Type | Individual
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Provider Name | THANH-TRUC LE MD
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Gender | Female
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Dates
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Enumeration Date | 04/24/2015
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Last Update Date | 08/05/2022
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Provider Practice Location Address
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Address Line | 21212 NORTHWEST FWY STE 245
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City | CYPRESS
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State | TX
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Zip | 77429-5885
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Country | US
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Telephone | 281-955-0262
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Fax | 281-955-0298
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Provider Business Mailing Address
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Address Line | 21212 NORTHWEST FWY STE 245
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City | CYPRESS
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State | TX
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Zip | 77429-5885
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Country | US
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Telephone | 281-955-0262
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Fax | 281-955-0298
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 47394
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License Number State | TX
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