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General NPI Number Information
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NPI Number | 1497218697
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Entity Type | Individual
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Provider Name | MRS. LINH MY LE
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Gender | Female
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Dates
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Enumeration Date | 04/13/2019
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Last Update Date | 10/12/2023
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Provider Practice Location Address
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Address Line | 1711 DOOLITTLE AVE
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City | FORT WORTH
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State | TX
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Zip | 76127-1133
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Country | US
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Telephone | 817-782-5929
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Fax |
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Provider Business Mailing Address
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Address Line | 2829 WHITE ROCK DR
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City | FORT WORTH
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State | TX
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Zip | 76131-2052
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Country | US
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Telephone | 817-793-3169
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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 | 51947
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License Number State | TX
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