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General NPI Number Information
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NPI Number | 1982122099
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Entity Type | Individual
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Provider Name | DR. KEVIN DINH HIEU LE
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Gender | Male
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Dates
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Enumeration Date | 09/08/2017
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Last Update Date | 03/08/2022
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Provider Practice Location Address
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Address Line | 771 E HORIZON DR STE 176
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City | HENDERSON
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State | NV
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Zip | 89015-8408
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Country | US
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Telephone | 559-916-9284
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Fax |
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Provider Business Mailing Address
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Address Line | 5530 KNIGHTS VALLEY CT
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City | LAS VEGAS
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State | NV
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Zip | 89141-8780
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Country | US
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Telephone | 559-916-9284
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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 | 101977
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 7505
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License Number State | NV
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