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NPI 1144306838

NPI 1144306838 : DANH P LUU DDS : LYNNWOOD, WA

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General NPI Number Information
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    NPI Number           |    1144306838
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    Entity Type          |    Individual 
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    Provider Name        |    DANH P LUU DDS
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/27/2006
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    Last Update Date     |    08/13/2025
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Provider Practice Location Address
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    Address Line         |    4111 ALDERWOOD MALL BLVD 
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    City                 |    LYNNWOOD
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    State                |    WA
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    Zip                  |    98036-6765
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    Country              |    US
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    Telephone            |    425-977-2580
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    Fax                  |    425-977-2565
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Provider Business Mailing Address
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    Address Line         |    PO BOX 34703 
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    City                 |    SEATTLE
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    State                |    WA
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    Zip                  |    98124-1703
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    Country              |    US
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    Telephone            |    206-764-0112
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    Fax                  |    206-764-0489
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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       |    DE00009659
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    License Number State |    WA
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Taxonomy #2
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    Taxonomy Code        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    DE00009659
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    License Number State |    WA
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