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General NPI Number Information
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NPI Number | 1124521117
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Entity Type | Organization
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Legal Business Name | YEN LE ACUPUNCTURE AND CO
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Dates
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Enumeration Date | 03/15/2018
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Last Update Date | 03/15/2018
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Provider Practice Location Address
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Address Line | 400 W FAIRBANKS AVE
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City | WINTER PARK
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State | FL
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Zip | 32789-5084
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Country | US
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Telephone | 941-345-5950
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Fax |
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Provider Business Mailing Address
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Address Line | 716 N DEAN RD
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City | ORLANDO
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State | FL
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Zip | 32825-3406
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | EMPLOYEE
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Name | YEN H LE
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Credential | AP
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Telephone | 941-345-5950
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 3904
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License Number State | FL
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