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General NPI Number Information
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NPI Number | 1356234686
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Entity Type | Individual
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Provider Name | TINA LE DINH DDS
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Gender | Female
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Dates
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Enumeration Date | 06/03/2025
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Last Update Date | 06/17/2025
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Provider Practice Location Address
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Address Line | 23515 NE NOVELTY HILL RD STE 209
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City | REDMOND
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State | WA
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Zip | 98053-5505
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Country | US
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Telephone | 425-898-8699
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Fax |
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Provider Business Mailing Address
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Address Line | 1551 KALAKAUA AVE APT H303
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City | HONOLULU
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State | HI
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Zip | 96826-6430
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Country | US
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Telephone | 808-726-6983
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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 | 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 #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DE70002750
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License Number State | WA
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