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General NPI Number Information
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NPI Number | 1497779979
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Entity Type | Organization
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Legal Business Name | MINH-HOANG LE, MD LLC
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 02/24/2011
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Provider Practice Location Address
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Address Line | 1300 N 12TH ST SUITE 312
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City | PHOENIX
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State | AZ
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Zip | 85006-2848
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Country | US
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Telephone | 602-279-5055
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Fax | 602-279-5155
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Provider Business Mailing Address
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Address Line | 1300 N 12TH ST SUITE 312
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City | PHOENIX
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State | AZ
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Zip | 85006-2848
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Country | US
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Telephone | 602-279-5055
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Fax | 602-279-5155
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Authorized Official
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Title or Position | MANAGER
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Name | MINH-HOANG NGUYEN LE
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Credential | MD
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Telephone | 602-279-5055
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 29099
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License Number State | AZ
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