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General NPI Number Information
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NPI Number | 1811309586
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Entity Type | Individual
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Provider Name | HA LE NGUYEN M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/28/2014
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Last Update Date | 06/20/2024
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Provider Practice Location Address
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Address Line | 275 W MACARTHUR BLVD
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City | OAKLAND
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State | CA
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Zip | 94611-5641
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Country | US
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Telephone | 571-449-6688
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Fax |
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Provider Business Mailing Address
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Address Line | 5107 HAWTHORNE SPRINGS LN
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City | SUGAR LAND
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State | TX
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Zip | 77479-4671
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Country | US
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Telephone | 571-449-6688
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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 | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 20294
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | A152143
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License Number State | CA
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