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General NPI Number Information
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NPI Number | 1639453822
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Entity Type | Individual
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Provider Name | HONG LE D.O.
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Gender | Female
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Dates
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Enumeration Date | 10/05/2011
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Last Update Date | 03/27/2018
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Provider Practice Location Address
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Address Line | 860 BELTLINE RD
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City | SPRINGFIELD
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State | OR
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Zip | 97477-1091
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Country | US
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Telephone | 541-222-6005
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Fax | 541-222-6029
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Provider Business Mailing Address
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Address Line | 1115 SE 164TH AVE DEPT 358
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City | VANCOUVER
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State | WA
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Zip | 98683-8004
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Country | US
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Telephone | 360-729-1253
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Fax | 360-729-3185
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | FL4742020
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License Number State | OR
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