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General NPI Number Information
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NPI Number | 1356520241
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Entity Type | Organization
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Legal Business Name | DUNG Q LE MD A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 10/29/2007
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Last Update Date | 04/15/2008
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Provider Practice Location Address
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Address Line | 36921 COOK ST SUITE 103
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City | PALM DESERT
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State | CA
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Zip | 92211-6070
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Country | US
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Telephone | 760-836-3937
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Fax | 760-836-1151
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Provider Business Mailing Address
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Address Line | 36921 COOK ST STE 103
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City | PALM DESERT
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State | CA
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Zip | 92211-6070
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Country | US
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Telephone | 760-836-3937
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Fax | 760-836-1151
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. DUNG Q LE
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Credential | MD
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Telephone | 760-836-3937
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | A79927
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License Number State | CA
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