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General NPI Number Information
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NPI Number | 1225320583
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Entity Type | Individual
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Provider Name | RYAN LUONG M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/05/2011
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Last Update Date | 05/01/2025
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Provider Practice Location Address
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Address Line | 907 E LINCOLN LN
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City | GARDNER
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State | KS
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Zip | 66030-3701
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Country | US
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Telephone | 913-856-1369
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Fax | 913-856-1368
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Provider Business Mailing Address
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Address Line | 2620 E CENTRAL AVE
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City | WICHITA
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State | KS
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Zip | 67214-4609
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Country | US
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Telephone | 316-686-5555
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Fax | 316-686-3440
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 04-37555
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MD-43350
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License Number State | IA
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | V7749
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | C200896
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD-25144
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License Number State | HI
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Taxonomy #6
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2016014773
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License Number State | MO
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