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General NPI Number Information
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NPI Number | 1013131440
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Entity Type | Individual
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Provider Name | MICHAEL M. LE D.D.S
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Gender | Male
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Dates
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Enumeration Date | 04/13/2007
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Last Update Date | 06/23/2021
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Provider Practice Location Address
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Address Line | 2150 E SOUTH ST STE. 116
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City | LONG BEACH
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State | CA
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Zip | 90805-4457
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Country | US
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Telephone | 562-531-9779
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Fax | 562-531-9779
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Provider Business Mailing Address
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Address Line | 138 DOLCI
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City | IRVINE
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State | CA
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Zip | 92602-1880
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Country | US
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Telephone | 310-749-6446
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 50075
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License Number State | CA
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