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General NPI Number Information
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NPI Number | 1972817138
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Entity Type | Individual
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Provider Name | CHINH T. LE FNP-C
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Gender | Female
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Dates
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Enumeration Date | 07/29/2010
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Last Update Date | 01/03/2022
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Provider Practice Location Address
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Address Line | 7275 E SOUTHGATE DR 204
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City | SACRAMENTO
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State | CA
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Zip | 95823-2628
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Country | US
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Telephone | 916-428-3788
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Fax | 916-428-0788
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Provider Business Mailing Address
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Address Line | 9243 ALMONDWILLOW WAY
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City | ELK GROVE
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State | CA
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Zip | 95624-5402
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Country | US
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Telephone | 916-428-3788
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Fax | 916-428-0788
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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 | 18713
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License Number State | CA
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