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General NPI Number Information
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NPI Number | 1023202686
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Entity Type | Organization
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Legal Business Name | XIANG LUO, M.D., P.C.
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Dates
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Enumeration Date | 08/28/2007
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Last Update Date | 08/28/2007
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Provider Practice Location Address
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Address Line | 216-16 UNION TURNPIKE
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City | BAYSIDE
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State | NY
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Zip | 11364-3525
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Country | US
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Telephone | 718-465-4000
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Fax | 718-776-6823
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Provider Business Mailing Address
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Address Line | 217-62 PECK AVENUE.
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City | QUEENS VILLAGE
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State | NY
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Zip | 11427-1118
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Country | US
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Telephone | 718-465-4000
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Fax | 718-776-6823
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. XIANG NONG LUO
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Credential | M.D.
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Telephone | 718-465-4000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 215472
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License Number State | NY
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