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General NPI Number Information
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NPI Number | 1609230523
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Entity Type | Organization
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Legal Business Name | THUY BICH LE, DDS, INC
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Dates
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Enumeration Date | 04/06/2016
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Last Update Date | 04/06/2016
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Provider Practice Location Address
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Address Line | 391 S STATE COLLEGE BLVD SUITE M
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City | BREA
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State | CA
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Zip | 92821-5755
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Country | US
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Telephone | 714-990-3321
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Fax | 714-990-3546
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Provider Business Mailing Address
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Address Line | 391 S STATE COLLEGE BLVD SUITE M
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City | BREA
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State | CA
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Zip | 92821-5755
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Country | US
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Telephone | 714-990-3321
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Fax | 714-990-3546
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Authorized Official
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Title or Position | OWNER
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Name | DR. THUY BICH LE
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Credential | DDS
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Telephone | 714-990-3321
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 49357
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License Number State | CA
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