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General NPI Number Information
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NPI Number | 1265560924
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Entity Type | Individual
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Provider Name | LOAN HONG LE DDS
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Gender | Female
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Dates
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Enumeration Date | 03/02/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 21890 COLORADO AVE.
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City | SAN JOAQUIN
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State | CA
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Zip | 93660
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Country | US
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Telephone | 559-693-2467
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Fax | 559-693-2398
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Provider Business Mailing Address
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Address Line | 6284 W LOS ALTOS AVE
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City | FRESNO
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State | CA
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Zip | 93722-8502
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Country | US
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Telephone | 559-274-0879
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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 | 1223D0001X
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Taxonomy Name | Public Health Dentistry
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License Number | 51489
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License Number State | CA
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