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General NPI Number Information
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NPI Number | 1447492657
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Entity Type | Individual
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Provider Name | VANDAI XUAN LE M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/02/2009
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Last Update Date | 11/02/2015
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Provider Practice Location Address
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Address Line | 3300 IRVINE AVE SUITE 111
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-3109
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Country | US
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Telephone | 949-877-6327
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Fax |
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Provider Business Mailing Address
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Address Line | 2618 SAN MIGUEL DR SUITE 205
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-5437
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Country | US
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Telephone | 949-877-6327
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | A125427
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License Number State | CA
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