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General NPI Number Information
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NPI Number | 1821372335
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Entity Type | Organization
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Legal Business Name | DAVID T. LE, MD, PA
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Dates
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Enumeration Date | 10/03/2011
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Last Update Date | 11/02/2011
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Provider Practice Location Address
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Address Line | 455 SCHOOL STREET SUITE 40
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City | TOMBALL
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State | TX
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Zip | 77375-5000
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Country | US
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Telephone | 281-255-6922
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Fax | 281-255-6758
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Provider Business Mailing Address
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Address Line | 455 SCHOOL STREET SUITE 40
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City | TOMBALL
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State | TX
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Zip | 77375-5000
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Country | US
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Telephone | 281-255-6922
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Fax | 281-255-6758
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Authorized Official
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Title or Position | OWNER
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Name | DR. DAVID T LE
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Credential | MD
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Telephone | 281-255-6922
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | K3605
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License Number State | TX
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