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General NPI Number Information
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NPI Number | 1619769163
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Entity Type | Individual
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Provider Name | PHONG VAN LE DPT
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Gender | Male
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Dates
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Enumeration Date | 05/20/2025
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Last Update Date | 05/20/2025
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Provider Practice Location Address
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Address Line | 8501 TURNPIKE DR UNIT 100
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City | WESTMINSTER
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State | CO
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Zip | 80031-7042
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Country | US
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Telephone | 303-430-2490
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Fax |
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Provider Business Mailing Address
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Address Line | 3827 S INCA ST
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City | ENGLEWOOD
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State | CO
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Zip | 80110-3406
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Country | US
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Telephone | 303-668-9242
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PTL.0015847
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License Number State | CO
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