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General NPI Number Information
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NPI Number | 1992149538
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Entity Type | Individual
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Provider Name | AMY LE
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Gender | Female
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Dates
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Enumeration Date | 04/25/2013
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Last Update Date | 10/27/2023
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Provider Practice Location Address
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Address Line | 4749 FREDERICKSBURG RD STE A
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City | SAN ANTONIO
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State | TX
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Zip | 78229-4465
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Country | US
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Telephone | 210-997-8630
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Fax |
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Provider Business Mailing Address
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Address Line | 100 HIGH ST # D-6 DEPT OF EMERGENCY MEDICINE
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City | BUFFALO
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State | NY
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Zip | 14203-1126
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Country | US
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Telephone | 916-524-4887
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | UO 3668
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | R2388
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 207P0000X
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License Number State | NY
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