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General NPI Number Information
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NPI Number | 1568911055
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Entity Type | Individual
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Provider Name | CASON TRI LE FNP
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Gender | Male
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Dates
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Enumeration Date | 09/26/2016
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Last Update Date | 09/26/2016
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Provider Practice Location Address
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Address Line | 7895 WESTMINSTER BLVD
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City | WESTMINSTER
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State | CA
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Zip | 92683-4043
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Country | US
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Telephone | 714-893-1222
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Fax |
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Provider Business Mailing Address
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Address Line | 7861 STANTON AVE
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City | BUENA PARK
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State | CA
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Zip | 90620-2165
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Country | US
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Telephone | 714-876-5557
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95004639
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License Number State | CA
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