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General NPI Number Information
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NPI Number | 1215481874
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Entity Type | Individual
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Provider Name | PHUONG NGUYEN UYEN LE FNP-C, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 08/11/2016
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Last Update Date | 09/11/2023
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Provider Practice Location Address
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Address Line | 14435 HAMLIN ST STE 108
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City | VAN NUYS
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State | CA
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Zip | 91401-6205
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Country | US
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Telephone | 800-481-0615
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Fax |
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Provider Business Mailing Address
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Address Line | 14435 HAMLIN ST STE 108
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City | VAN NUYS
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State | CA
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Zip | 91401-6205
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Country | US
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Telephone | 800-481-0615
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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 | 95020332
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 95020332
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 95070038
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License Number State | CA
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