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1780811448 NPI number — THAO PHUONG LE DO

NPI Number: 1780811448
Health Care Provider/Practitioner: THAO PHUONG LE DO

Information about “1780811448” NPI (THAO PHUONG LE DO) exists in 1780811448 in HTML format HTML  |  1780811448 in plain Text format TXT  |  1780811448 in PDF (Portable Document Format) PDF  |  1780811448 in an XML format XML  formats.

NPI Number : 1780811448 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1780811448",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LE",
    "FirstName": "THAO",
    "MiddleName": "PHUONG",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "DO",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "LE",
    "OtherFirstName": "TERRY",
    "OtherMiddleName": "PHUONG",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "DO",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "301 S OKELLY AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ELON",
    "MailingAddressStateName": "NC",
    "MailingAddressPostalCode": "27244-9382",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "301 S OKELLY AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ELON",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "27244-9382",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "336-278-7230",
    "PracticeLocationAddressFaxNumber": "336-538-6506",
    "EnumerationDate": "06/19/2009",
    "LastUpdateDate": "03/03/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "207Q00000X",
          "TaxonomyName": "Family Medicine Physician",
          "LicenseNumber": "0116021227",
          "LicenseNumberStateCode": "VA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207Q00000X",
          "TaxonomyName": "Family Medicine Physician",
          "LicenseNumber": "2012-01541",
          "LicenseNumberStateCode": "NC",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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