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General NPI Number Information
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NPI Number | 1912476524
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Entity Type | Organization
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Legal Business Name | HAO ANH LE DDS INC
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Dates
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Enumeration Date | 11/13/2018
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Last Update Date | 11/13/2018
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Provider Practice Location Address
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Address Line | 14341 BEACH BLVD STE I
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City | WESTMINSTER
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State | CA
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Zip | 92683-4561
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Country | US
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Telephone | 714-896-0793
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Fax |
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Provider Business Mailing Address
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Address Line | 14341 BEACH BLVD STE I
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City | WESTMINSTER
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State | CA
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Zip | 92683-4561
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Country | US
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Telephone | 714-896-0793
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. HAO ANH LE
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Credential | DDS
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Telephone | 480-206-4358
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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