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General NPI Number Information
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NPI Number | 1992727747
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Entity Type | Individual
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Provider Name | LOUIE L LE O.D.
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Gender | Male
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Dates
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Enumeration Date | 07/24/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 900 WASHINGTON RD KELLER ARMY COMMUNITY HOSPITAL, ATTN: MCUD-OPT
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City | WEST POINT
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State | NY
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Zip | 10996-1109
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Country | US
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Telephone | 845-938-2021
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Fax | 845-938-7195
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Provider Business Mailing Address
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Address Line | 1 THAYER RD APT C3
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City | WEST POINT
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State | NY
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Zip | 10996-1714
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Country | US
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Telephone | 626-379-5479
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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 | OPT13039T
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License Number State | CA
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