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General NPI Number Information
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NPI Number | 1811370091
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Entity Type | Individual
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Provider Name | MICHELLE THUY LE DPM
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Gender | Female
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Dates
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Enumeration Date | 07/07/2015
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Last Update Date | 05/26/2025
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Provider Practice Location Address
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Address Line | 11801 ROCKVILLE PIKE STE 105
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City | ROCKVILLE
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State | MD
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Zip | 20852-2714
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Country | US
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Telephone | 301-881-6222
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Fax | 301-881-1639
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Provider Business Mailing Address
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Address Line | PO BOX 825159
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City | PHILADELPHIA
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State | PA
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Zip | 19182-5159
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Country | US
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Telephone | 301-881-6222
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Fax | 301-881-1639
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | LPR00147
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License Number State | RI
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