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General NPI Number Information
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NPI Number | 1811902398
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Entity Type | Organization
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Legal Business Name | PROGRESSIVE MEDICAL ASSOCIATES PLLC
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Dates
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Enumeration Date | 07/31/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 13220 ROSEDALE HILL AVE
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City | HUNTERSVILLE
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State | NC
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Zip | 28078-0361
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Country | US
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Telephone | 704-766-0320
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Fax | 704-766-0407
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Provider Business Mailing Address
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Address Line | 13220 ROSEDALE HILL AVE
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City | HUNTERSVILLE
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State | NC
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Zip | 28078-0361
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Country | US
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Telephone | 704-766-0320
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Fax | 704-766-0407
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Authorized Official
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Title or Position | OWNER
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Name | DR. PETER LE
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Credential | M.D.
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Telephone | 704-766-0320
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State | NC
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