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General NPI Number Information
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NPI Number | 1720207053
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Entity Type | Individual
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Provider Name | MICHAEL H LE BRAS DO
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Gender | Male
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Dates
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Enumeration Date | 04/25/2007
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Last Update Date | 01/20/2026
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Provider Practice Location Address
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Address Line | 3367 S MERCY RD STE 205
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City | GILBERT
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State | AZ
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Zip | 85297-7604
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Country | US
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Telephone | 480-793-7720
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Fax | 480-292-8795
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Provider Business Mailing Address
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Address Line | 3367 S MERCY RD STE 205
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City | GILBERT
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State | AZ
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Zip | 85297-7604
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Country | US
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Telephone | 480-793-7720
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Fax | 480-292-8795
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 4627
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 6454500-1204
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License Number State | UT
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