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General NPI Number Information
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NPI Number | 1306135538
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Entity Type | Individual
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Provider Name | CATHERINE MINH LE D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 03/28/2011
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Last Update Date | 08/15/2016
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Provider Practice Location Address
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Address Line | 189 N BASCOM AVE SUITE 200
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City | SAN JOSE
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State | CA
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Zip | 95128-1869
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Country | US
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Telephone | 408-286-6315
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Fax |
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Provider Business Mailing Address
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Address Line | 189 N BASCOM AVE SUITE 200
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City | SAN JOSE
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State | CA
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Zip | 95128-1869
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Country | US
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Telephone | 408-286-6315
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 019028998
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License Number State | IL
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | D009173
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License Number State | AZ
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Taxonomy #4
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 100479
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License Number State | CA
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