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General NPI Number Information
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NPI Number | 1942862099
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Entity Type | Individual
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Provider Name | CAITLYN DANIELLE LE DDS
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Gender | Female
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Dates
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Enumeration Date | 06/28/2019
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Last Update Date | 06/28/2019
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Provider Practice Location Address
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Address Line | 272 S COLLINS RD
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City | SUNNYVALE
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State | TX
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Zip | 75182-4640
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Country | US
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Telephone | 972-216-1871
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Fax |
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Provider Business Mailing Address
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Address Line | 7936 XAVIER CT
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City | DALLAS
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State | TX
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Zip | 75218-4512
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Country | US
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Telephone | 214-677-6278
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 35411
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License Number State | TX
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