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General NPI Number Information
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NPI Number | 1508147265
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Entity Type | Individual
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Provider Name | OANH KIM LE O.D.
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Gender | Female
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Dates
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Enumeration Date | 09/07/2011
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Last Update Date | 01/18/2017
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Provider Practice Location Address
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Address Line | 9219 BELLAIRE BLVD APT 249
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City | HOUSTON
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State | TX
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Zip | 77036-4501
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Country | US
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Telephone | 510-499-4024
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Fax |
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Provider Business Mailing Address
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Address Line | 5135 W ALABAMA ST STE 5410
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City | HOUSTON
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State | TX
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Zip | 77056-5814
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Country | US
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Telephone | 713-963-0021
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Fax | 713-850-0278
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 8913T
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License Number State | TX
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