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General NPI Number Information
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NPI Number | 1700417524
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Entity Type | Individual
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Provider Name | DIEM LE DC
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Gender | Female
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Dates
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Enumeration Date | 01/30/2020
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Last Update Date | 06/25/2020
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Provider Practice Location Address
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Address Line | 1996 SCHERTZ PKWY BLDG 5502
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City | SCHERTZ
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State | TX
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Zip | 78154-1676
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Country | US
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Telephone | 210-960-9000
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Fax |
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Provider Business Mailing Address
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Address Line | 1100 RIVER OAK DR
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City | SEGUIN
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State | TX
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Zip | 78155-7048
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Country | US
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Telephone | 214-244-2355
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 13940
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License Number State | TX
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