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General NPI Number Information
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NPI Number | 1497723456
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Entity Type | Individual
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Provider Name | THINH K LE MD
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Gender | Male
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Dates
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Enumeration Date | 03/08/2006
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Last Update Date | 11/26/2019
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Provider Practice Location Address
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Address Line | 12361 W BOLA DR STE 109
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City | SURPRISE
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State | AZ
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Zip | 85374-9021
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Country | US
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Telephone | 623-332-1441
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Fax | 602-237-5238
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Provider Business Mailing Address
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Address Line | 8805 W UNION HILLS DR STE 101
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City | PEORIA
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State | AZ
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Zip | 85382-8153
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Country | US
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Telephone | 623-332-1441
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Fax | 602-237-5238
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 31542
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License Number State | AZ
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