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General NPI Number Information
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NPI Number | 1821446907
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Entity Type | Individual
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Provider Name | CATHERINE THI HANG LE PA-C
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Gender | Female
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Dates
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Enumeration Date | 05/30/2016
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Last Update Date | 10/31/2016
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Provider Practice Location Address
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Address Line | 1514 JEFFERSON HWY
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City | JEFFERSON
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State | LA
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Zip | 70121-2429
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Country | US
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Telephone | 866-624-7637
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Fax |
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Provider Business Mailing Address
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Address Line | 3301 W ESPLANADE AVE N APT #17-274B
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City | METAIRIE
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State | LA
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Zip | 70002-2600
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Country | US
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Telephone | 985-227-5960
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 302025
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License Number State | LA
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