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General NPI Number Information
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NPI Number | 1831865682
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Entity Type | Individual
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Provider Name | LE TRINH
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Gender | Male
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Dates
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Enumeration Date | 08/20/2021
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Last Update Date | 01/24/2023
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Provider Practice Location Address
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Address Line | 7201 US HIGHWAY 64 E
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City | KNIGHTDALE
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State | NC
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Zip | 27545-9268
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Country | US
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Telephone | 919-266-7600
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Fax |
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Provider Business Mailing Address
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Address Line | 5337 FORSYTH PARK ST
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City | RALEIGH
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State | NC
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Zip | 27616-6682
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Country | US
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Telephone | 919-602-8429
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 5015186
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License Number State | NC
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