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NPI 1265415509

NPI 1265415509 : GAIN G. LU DDS : NEW YORK, NY

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General NPI Number Information
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    NPI Number           |    1265415509
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    Entity Type          |    Individual 
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    Provider Name        |    GAIN G. LU DDS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/21/2005
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    Last Update Date     |    06/16/2025
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Provider Practice Location Address
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    Address Line         |    125 WALKER ST FL 2 
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10013-4135
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    Country              |    US
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    Telephone            |    212-226-9339
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    Fax                  |    929-659-8355
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Provider Business Mailing Address
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    Address Line         |    125 WALKER ST FL 2 
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10013-4135
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    Country              |    US
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    Telephone            |    212-226-8866
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    Fax                  |    212-226-2289
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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       |    050812
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    License Number State |    NY
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Taxonomy #2
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    Taxonomy Code        |    122300000X
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    Taxonomy Name        |    Dentist
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    License Number       |    009423
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    License Number State |    CT
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