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General NPI Number Information
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NPI Number | 1093342909
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Entity Type | Individual
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Provider Name | EMERLY TRAN HOANG LUONG MD
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Gender | Female
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Dates
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Enumeration Date | 03/23/2020
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Last Update Date | 11/11/2024
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Provider Practice Location Address
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Address Line | 21601 76TH AVE W
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City | EDMONDS
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State | WA
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Zip | 98026-7507
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Country | US
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Telephone | 425-640-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 3100 COURT VIEW DR APT 12
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City | BEAVERCREEK
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State | OH
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Zip | 45431-8828
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Country | US
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Telephone | 702-613-9861
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 61511718
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License Number State | WA
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