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General NPI Number Information
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NPI Number | 1598700221
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Entity Type | Organization
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Legal Business Name | TUU DUC LE INC
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Dates
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Enumeration Date | 06/17/2006
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Last Update Date | 04/03/2008
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Provider Practice Location Address
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Address Line | 8035 EUCLID AVE
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City | MUNSTER
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State | IN
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Zip | 46321
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Country | US
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Telephone | 219-836-2251
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Fax | 219-836-2259
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Provider Business Mailing Address
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Address Line | 8035 EUCLID AVE
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City | MUNSTER
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State | IN
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Zip | 46321
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Country | US
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Telephone | 219-836-2251
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Fax | 219-836-2259
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. TUU DUC LE
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Credential |
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Telephone | 630-897-6363
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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