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General NPI Number Information
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NPI Number | 1588020275
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Entity Type | Individual
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Provider Name | JOAN LE PA-C
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Gender | Female
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Dates
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Enumeration Date | 01/11/2016
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Last Update Date | 01/29/2024
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Provider Practice Location Address
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Address Line | 1810 N PLANO RD
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City | RICHARDSON
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State | TX
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Zip | 75081-1916
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Country | US
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Telephone | 972-664-9888
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Fax |
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Provider Business Mailing Address
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Address Line | 1615 E 15TH ST
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City | PLANO
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State | TX
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Zip | 75074-6310
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Country | US
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Telephone | 469-733-2458
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA08861
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License Number State | TX
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