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General NPI Number Information
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NPI Number | 1003042912
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Entity Type | Individual
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Provider Name | MINHTRIET H LUU M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/05/2009
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Last Update Date | 12/05/2017
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Provider Practice Location Address
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Address Line | 7601 PIONEERS BLVD
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City | LINCOLN
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State | NE
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Zip | 68506-4675
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Country | US
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Telephone | 402-484-6677
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Fax |
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Provider Business Mailing Address
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Address Line | 7601 PIONEERS BLVD
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City | LINCOLN
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State | NE
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Zip | 68506-4675
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Country | US
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Telephone | 402-484-6677
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 25172
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 25172
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License Number State | NE
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