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General NPI Number Information
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NPI Number | 1558465799
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Entity Type | Individual
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Provider Name | BRUCE N. LE DO, MS
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Gender | Male
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Dates
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Enumeration Date | 09/08/2006
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Last Update Date | 11/12/2014
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Provider Practice Location Address
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Address Line | 820 SOUTH AKERS 220
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City | VISALIA
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State | CA
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Zip | 93277-8309
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Country | US
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Telephone | 559-625-0551
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Fax | 559-733-4475
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Provider Business Mailing Address
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Address Line | PO BOX 2632
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City | VISALIA
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State | CA
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Zip | 93279-2632
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Country | US
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Telephone | 559-625-0551
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Fax | 559-733-4475
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 20A7965
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License Number State | CA
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