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General NPI Number Information
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NPI Number | 1952884488
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Entity Type | Individual
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Provider Name | THU THAO THI LE APRN
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Gender | Female
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Dates
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Enumeration Date | 09/11/2018
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Last Update Date | 03/02/2023
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Provider Practice Location Address
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Address Line | 407 S CLAIRBORNE RD STE 104
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City | OLATHE
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State | KS
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Zip | 66062-1744
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Country | US
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Telephone | 913-648-2266
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Fax |
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Provider Business Mailing Address
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Address Line | 1114 E SLEEPY HOLLOW DR
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City | OLATHE
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State | KS
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Zip | 66062-2228
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Country | US
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Telephone | 316-553-0164
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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 | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 13-144135-071
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 5381137071
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License Number State | KS
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