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General NPI Number Information
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NPI Number | 1013572247
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Entity Type | Individual
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Provider Name | DR. GIA HUY NGUYEN LE
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Gender | Male
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Dates
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Enumeration Date | 05/02/2019
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Last Update Date | 12/22/2024
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Provider Practice Location Address
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Address Line | 6910 N MESA ST
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City | EL PASO
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State | TX
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Zip | 79912-4445
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Country | US
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Telephone | 915-995-5014
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Fax |
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Provider Business Mailing Address
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Address Line | 615 N ZARAGOZA RD STE 88
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City | EL PASO
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State | TX
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Zip | 79907-4772
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Country | US
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Telephone | 505-718-1140
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 35126
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License Number State | TX
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