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General NPI Number Information
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NPI Number | 1659563955
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Entity Type | Individual
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Provider Name | MINA NGUYEN LE M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/10/2007
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Last Update Date | 05/13/2024
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Provider Practice Location Address
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Address Line | 49 LAKE AVE STE 103
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City | GREENWICH
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State | CT
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Zip | 06830-4519
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Country | US
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Telephone | 203-869-2030
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Fax | 203-869-9262
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Provider Business Mailing Address
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Address Line | PO BOX 419430
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City | BOSTON
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State | MA
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Zip | 02241-9430
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Country | US
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Telephone | 201-967-8221
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Fax | 201-483-2242
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 25MA10373000
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 77775
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | NO LICENSE YET
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License Number State | MN
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