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General NPI Number Information
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NPI Number | 1063694875
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Entity Type | Individual
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Provider Name | LYNDA KIM LE PA-C
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Gender | Female
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Dates
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Enumeration Date | 12/04/2007
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 3305 NASSAU ST
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City | EVERETT
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State | WA
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Zip | 98201-4140
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Country | US
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Telephone | 206-895-1825
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Fax |
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Provider Business Mailing Address
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Address Line | 12634 TRIANGLE REEF CT
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City | LAS VEGAS
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State | NV
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Zip | 89141-6118
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Country | US
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Telephone | 215-805-0477
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 23012294
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA1228
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License Number State | NV
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA0219
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License Number State | NV
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Taxonomy #4
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA2360
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License Number State | NV
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Taxonomy #5
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA61139478
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License Number State | WA
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