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General NPI Number Information
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NPI Number | 1174071799
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Entity Type | Individual
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Provider Name | YEN LE PHAN MSN, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 09/12/2016
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Last Update Date | 08/30/2024
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Provider Practice Location Address
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Address Line | 5901 W CENTURY BLVD STE 750
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City | LOS ANGELES
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State | CA
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Zip | 90045-5443
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Country | US
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Telephone | 888-880-3451
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Fax |
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Provider Business Mailing Address
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Address Line | 1420 S 5TH ST APT D
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City | ALHAMBRA
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State | CA
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Zip | 91803-3344
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Country | US
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Telephone | 626-320-3354
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | SP029810
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95004857
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License Number State | CA
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