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General NPI Number Information
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NPI Number | 1902152473
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Entity Type | Individual
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Provider Name | THANH LE O.D.
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Gender | Male
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Dates
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Enumeration Date | 08/01/2012
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Last Update Date | 03/14/2025
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Provider Practice Location Address
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Address Line | 1265 SGT JON STILES DR
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City | HIGHLANDS RANCH
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State | CO
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Zip | 80129-2263
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Country | US
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Telephone | 303-791-1984
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Fax | 303-683-5560
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Provider Business Mailing Address
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Address Line | PO BOX 630147
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City | LITTLETON
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State | CO
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Zip | 80163-0147
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Country | US
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Telephone | 708-833-0711
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Fax |
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPT.0003476
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License Number State | CO
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