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General NPI Number Information
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NPI Number | 1972492569
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Entity Type | Individual
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Provider Name | ANH LE
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Gender | Female
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Dates
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Enumeration Date | 06/30/2025
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 294 PATTERSON RD
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City | HAINES CITY
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State | FL
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Zip | 33844-6251
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Country | US
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Telephone | 863-422-8608
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Fax |
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Provider Business Mailing Address
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Address Line | 3070 IRISH PEACH DR
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City | WINTER GARDEN
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State | FL
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Zip | 34787-5674
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Country | US
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Telephone | 941-807-5980
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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 | 30654
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License Number State | FL
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