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General NPI Number Information
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NPI Number | 1750878526
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Entity Type | Individual
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Provider Name | LIEN PHUONG LE FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 04/17/2018
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Last Update Date | 11/22/2023
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Provider Practice Location Address
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Address Line | 3019 N 35TH AVE
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City | PHOENIX
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State | AZ
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Zip | 85017-5206
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Country | US
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Telephone | 602-269-7797
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Fax | 602-269-2329
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Provider Business Mailing Address
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Address Line | 14747 N NORTHSIGHT BLVD STE 111 #311
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-2633
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Country | US
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Telephone | 602-269-7797
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Fax | 602-269-2329
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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 | RN163637
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License Number State | AZ
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