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General NPI Number Information
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NPI Number | 1447454012
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Entity Type | Individual
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Provider Name | DEWEY LE DO
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Gender | Male
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Dates
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Enumeration Date | 06/14/2007
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Last Update Date | 11/20/2024
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Provider Practice Location Address
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Address Line | 320 KINGWOOD EXECUTIVE DR STE E
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City | KINGWOOD
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State | TX
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Zip | 77339-2769
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Country | US
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Telephone | 281-359-5981
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Fax | 281-359-3591
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Provider Business Mailing Address
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Address Line | PO BOX 9547
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City | BELFAST
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State | ME
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Zip | 04915-9547
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Country | US
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Telephone | 281-359-5981
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Fax | 281-359-3591
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | M4850
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License Number State | TX
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