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General NPI Number Information
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NPI Number | 1306756051
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Entity Type | Individual
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Provider Name | LOC DUY LE
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Gender | Male
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Dates
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Enumeration Date | 09/08/2026
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Last Update Date | 09/08/2026
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Provider Practice Location Address
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Address Line | 1713 DECATUR HWY
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City | FULTONDALE
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State | AL
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Zip | 35068-1742
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Country | US
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Telephone | 205-841-3815
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Fax |
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Provider Business Mailing Address
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Address Line | 31787 STATE HIGHWAY 79
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City | CLEVELAND
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State | AL
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Zip | 35049-4707
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Country | US
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Telephone |
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Fax |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 24789
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License Number State | AL
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