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General NPI Number Information
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NPI Number | 1396988465
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Entity Type | Individual
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Provider Name | ALYSSA LILLO LE M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/19/2009
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Last Update Date | 07/27/2016
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Provider Practice Location Address
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Address Line | 5657 S HIMALAYA ST STE 100
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City | CENTENNIAL
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State | CO
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Zip | 80015-5307
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Country | US
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Telephone | 303-699-6200
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Fax | 720-974-7175
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Provider Business Mailing Address
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Address Line | 10541 WINTERSWEET CT
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City | PARKER
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State | CO
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Zip | 80134-2500
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Country | US
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Telephone | 860-604-8456
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | DR.0057347
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License Number State | CO
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