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General NPI Number Information
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NPI Number | 1780159806
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Entity Type | Individual
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Provider Name | DIEM-TRINH TRAN LE FNP-C
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Gender | Female
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Dates
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Enumeration Date | 10/04/2018
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Last Update Date | 11/08/2025
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Provider Practice Location Address
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Address Line | 606 E MILL ST
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City | SAN BERNARDINO
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State | CA
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Zip | 92415-3928
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Country | US
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Telephone | 800-722-4777
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Fax |
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Provider Business Mailing Address
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Address Line | 3086 WINDEMERE CT
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City | CHINO HILLS
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State | CA
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Zip | 91709-4262
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Country | US
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Telephone | 626-242-8170
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Fax |
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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 | 95010156
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 95010156
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License Number State | CA
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