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General NPI Number Information
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NPI Number | 1548981897
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Entity Type | Individual
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Provider Name | TRI LE
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Gender | Male
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Dates
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Enumeration Date | 09/06/2022
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Last Update Date | 09/06/2022
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Provider Practice Location Address
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Address Line | 7909 HILLCROFT ST STE B
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City | HOUSTON
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State | TX
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Zip | 77081-7207
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Country | US
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Telephone | 713-779-7603
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Fax | 713-779-7601
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Provider Business Mailing Address
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Address Line | 15115 ROSALINA TERRACE TRL
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City | CYPRESS
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State | TX
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Zip | 77429-7906
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Country | US
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Telephone | 832-517-0306
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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 | 56839
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License Number State | TX
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