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General NPI Number Information
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NPI Number | 1285111807
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Entity Type | Organization
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Legal Business Name | HIEN LE, MD, PA
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Dates
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Enumeration Date | 07/26/2018
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Last Update Date | 02/25/2019
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Provider Practice Location Address
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Address Line | 3920 W WHEATLAND RD STE 124
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City | DALLAS
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State | TX
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Zip | 75237
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Country | US
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Telephone | 972-292-8834
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Fax | 972-217-8986
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Provider Business Mailing Address
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Address Line | 709 WARWICK BLVD
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City | LEWISVILLE
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State | TX
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Zip | 75056-6280
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Country | US
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Telephone | 865-235-5111
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Fax | 972-217-8986
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HIEN LE
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Credential | MD
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Telephone | 865-235-5111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 51137
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | Q3910
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License Number State | TX
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