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General NPI Number Information
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NPI Number | 1225229651
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Entity Type | Organization
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Legal Business Name | TRU VAN LE M.D., P.C.
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Dates
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Enumeration Date | 08/09/2007
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Last Update Date | 08/09/2007
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Provider Practice Location Address
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Address Line | 6404 SEVEN CORNERS PL STE F
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City | FALLS CHURCH
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State | VA
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Zip | 22044-2033
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Country | US
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Telephone | 703-241-5695
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Fax | 703-237-9896
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Provider Business Mailing Address
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Address Line | 6404 SEVEN CORNERS PL STE F
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City | FALLS CHURCH
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State | VA
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Zip | 22044-2033
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Country | US
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Telephone | 703-241-5695
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Fax | 702-237-9896
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Authorized Official
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Title or Position | OWNER
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Name | DR. TRU VAN LE
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Credential | M.D.
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Telephone | 703-241-5695
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State | VA
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