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General NPI Number Information
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NPI Number | 1811517287
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Entity Type | Individual
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Provider Name | CHRISTINE NGUYET LEDUC
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Gender | Female
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Dates
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Enumeration Date | 04/25/2020
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Last Update Date | 04/29/2022
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Provider Practice Location Address
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Address Line | 132 S ANITA DR
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City | ORANGE
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State | CA
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Zip | 92868-3317
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Country | US
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Telephone | 877-778-0318
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Fax |
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Provider Business Mailing Address
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Address Line | 132 S. ANITA DR
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City | ORANGE
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State | CA
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Zip | 92868
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Country | US
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Telephone | 877-778-0318
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Fax | 877-778-0399
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 73369
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License Number State | CA
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