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General NPI Number Information
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NPI Number | 1811440803
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Entity Type | Organization
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Legal Business Name | THANH-HANG LE DDS INC
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Dates
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Enumeration Date | 07/26/2016
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Last Update Date | 08/04/2016
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Provider Practice Location Address
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Address Line | 3904 W 1ST ST 100
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City | SANTA ANA
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State | CA
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Zip | 92703-4007
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Country | US
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Telephone | 714-531-5337
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Fax | 714-900-2439
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Provider Business Mailing Address
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Address Line | 3904 W 1ST ST 100
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City | SANTA ANA
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State | CA
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Zip | 92703-4007
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Country | US
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Telephone | 714-531-5337
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Fax | 714-900-2439
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Authorized Official
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Title or Position | CEO
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Name | DR. THANHHANG LE
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Credential | DDS
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Telephone | 714-251-9026
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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 | 41103
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License Number State | CA
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