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General NPI Number Information
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NPI Number | 1235603861
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Entity Type | Individual
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Provider Name | LELAND THI LE
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Gender | Female
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Dates
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Enumeration Date | 01/16/2019
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Last Update Date | 09/23/2025
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Provider Practice Location Address
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Address Line | 15095 AMARGOSA RD STE 208
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City | VICTORVILLE
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State | CA
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Zip | 92394-1875
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Country | US
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Telephone | 323-509-0631
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Fax |
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Provider Business Mailing Address
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Address Line | 11776 FRESH MEADOW PL
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City | VICTORVILLE
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State | CA
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Zip | 92392-5713
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Country | US
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Telephone | 323-509-0631
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 133784
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 373H00000X
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Taxonomy Name | Day Training/Habilitation Specialist
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License Number | 133784
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 90827
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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