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General NPI Number Information
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NPI Number | 1184309213
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Entity Type | Organization
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Legal Business Name | DR. LUU TELEHEALTH SERVICES
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Dates
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Enumeration Date | 06/16/2023
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Last Update Date | 06/16/2023
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Provider Practice Location Address
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Address Line | 7683 LADY BANKS LOOP
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City | CORONA
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State | CA
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Zip | 92883-5640
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Country | US
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Telephone | 858-245-0915
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Fax |
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Provider Business Mailing Address
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Address Line | 7683 LADY BANKS LOOP
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City | CORONA
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State | CA
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Zip | 92883-5640
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Country | US
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Telephone | 858-245-0915
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | TUYET LUU
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Credential | DR
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Telephone | 858-245-0915
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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