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General NPI Number Information
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NPI Number | 1457074486
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Entity Type | Individual
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Provider Name | KATHY TUYEN LE PHARMD
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Gender | Female
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Dates
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Enumeration Date | 09/23/2022
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Last Update Date | 09/23/2022
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Provider Practice Location Address
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Address Line | 3426 CYPRESS ST STE 16
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City | WEST MONROE
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State | LA
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Zip | 71291-7399
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Country | US
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Telephone | 318-396-0069
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Fax | 318-396-3060
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Provider Business Mailing Address
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Address Line | 4207 LEON DR
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City | ALEXANDRIA
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State | LA
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Zip | 71303-3444
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Country | US
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Telephone | 318-290-7947
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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 | PST.024562
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License Number State | LA
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