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General NPI Number Information
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NPI Number | 1568493062
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Entity Type | Individual
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Provider Name | SON DIEP LE MD
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Gender | Male
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 12/29/2021
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Provider Practice Location Address
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Address Line | 5003 CROSSINGS CIRCLE SUITE 200
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City | MT. JULIET
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State | TN
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Zip | 37122-8568
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Country | US
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Telephone | 615-872-9966
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Fax | 615-564-9300
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Provider Business Mailing Address
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Address Line | 5003 CROSSINGS CIRCLE SUITE 200
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City | MT. JULIET
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State | TN
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Zip | 37122-8568
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Country | US
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Telephone | 615-872-9966
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Fax | 615-564-9300
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | MD35117
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License Number State | TN
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