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General NPI Number Information
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NPI Number | 1548632730
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Entity Type | Individual
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Provider Name | NGHIA LE
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Gender | Male
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Dates
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Enumeration Date | 10/27/2015
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Last Update Date | 01/20/2026
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Provider Practice Location Address
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Address Line | 1914 ASBURY AVE APT 2
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City | EVANSTON
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State | IL
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Zip | 60201-3556
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Country | US
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Telephone | 414-416-1696
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Fax |
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Provider Business Mailing Address
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Address Line | 400 CENTRAL AVE STE 250
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City | NORTHFIELD
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State | IL
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Zip | 60093-3024
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Country | US
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Telephone | 847-350-8277
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 149.022590
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 117562
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License Number State | CA
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