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General NPI Number Information
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NPI Number | 1073919031
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Entity Type | Individual
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Provider Name | LARRY LUONG PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 11/18/2014
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Last Update Date | 11/18/2014
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Provider Practice Location Address
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Address Line | 6010 N FIGARDEN DR
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City | FRESNO
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State | CA
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Zip | 93722-7922
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Country | US
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Telephone | 559-271-4926
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Fax |
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Provider Business Mailing Address
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Address Line | 8852 SAILFISH BAY CIR
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City | SACRAMENTO
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State | CA
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Zip | 95828-6436
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Country | US
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Telephone | 916-266-3718
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 72005
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License Number State | CA
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