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General NPI Number Information
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NPI Number | 1780838110
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Entity Type | Organization
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Legal Business Name | DINH V. LE, PROFESSIONAL CHIROPRACTIC CORP.
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Dates
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Enumeration Date | 11/12/2008
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Last Update Date | 11/12/2008
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Provider Practice Location Address
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Address Line | 7743 WEST LN B-2
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City | STOCKTON
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State | CA
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Zip | 95210-3348
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Country | US
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Telephone | 209-952-1883
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Fax | 209-952-5439
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Provider Business Mailing Address
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Address Line | 7743 WEST LN B-2
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City | STOCKTON
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State | CA
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Zip | 95210-3348
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Country | US
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Telephone | 209-952-1883
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Fax | 209-952-5439
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DINH VAN LE
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Credential | D.C.
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Telephone | 209-952-1883
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC27110
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License Number State | CA
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