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General NPI Number Information
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NPI Number | 1487262556
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Entity Type | Individual
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Provider Name | THINH DUC LE PHARMD
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Gender | Male
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Dates
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Enumeration Date | 07/15/2020
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Last Update Date | 03/25/2021
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Provider Practice Location Address
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Address Line | 7644 PARK BLVD N
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City | PINELLAS PARK
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State | FL
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Zip | 33781-3755
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Country | US
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Telephone | 727-685-0268
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Fax |
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Provider Business Mailing Address
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Address Line | 10506 CHAMBERS DR
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City | TAMPA
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State | FL
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Zip | 33626-2619
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Country | US
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Telephone | 727-465-8493
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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 | PS60884
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License Number State | FL
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