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General NPI Number Information
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NPI Number | 1417332537
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Entity Type | Individual
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Provider Name | AN LE PNP-PC
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Gender | Female
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Dates
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Enumeration Date | 07/30/2015
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Last Update Date | 08/06/2025
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Provider Practice Location Address
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Address Line | 150 SARGENT DR
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City | NEW HAVEN
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State | CT
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Zip | 06511-6100
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Country | US
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Telephone | 203-777-7411
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Fax |
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Provider Business Mailing Address
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Address Line | 46 ACORN RD
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City | MADISON
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State | CT
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Zip | 06443-3340
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Country | US
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Telephone | 203-233-5131
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 9465
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License Number State | CT
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