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General NPI Number Information
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NPI Number | 1265991350
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Entity Type | Organization
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Legal Business Name | PLATEAU FOOT AND ANKLE CLINIC PLLC
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Dates
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Enumeration Date | 03/18/2019
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Last Update Date | 01/23/2023
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Provider Practice Location Address
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Address Line | 466 228TH AVE NE
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City | SAMMAMISH
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State | WA
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Zip | 98074-7209
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Country | US
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Telephone | 425-868-3338
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Fax |
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Provider Business Mailing Address
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Address Line | 466 228TH AVE NE
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City | SAMMAMISH
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State | WA
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Zip | 98074-7209
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Country | US
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Telephone | 425-868-3338
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | DR. KHANH LE
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Credential | DPM
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Telephone | 425-868-3338
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State |
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