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General NPI Number Information
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NPI Number | 1770707978
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Entity Type | Individual
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Provider Name | YEN NGOC LE DDS
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Gender | Female
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Dates
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Enumeration Date | 04/12/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 14265 BROOKHURST ST
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City | GARDEN GROVE
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State | CA
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Zip | 92843
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Country | US
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Telephone | 714-531-2773
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Fax | 714-531-0638
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Provider Business Mailing Address
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Address Line | 2017 N COTTER ST
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City | SANTA ANA
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State | CA
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Zip | 92706
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Country | US
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Telephone | 714-971-7551
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Fax | 714-971-7551
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 44004
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License Number State | CA
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