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General NPI Number Information
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NPI Number | 1346283546
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Entity Type | Individual
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Provider Name | ALFRED F.K. LUI M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/14/2006
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Last Update Date | 01/19/2021
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Provider Practice Location Address
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Address Line | 23441 MADISON ST STE 301B
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City | TORRANCE
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State | CA
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Zip | 90505-4735
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Country | US
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Telephone | 310-339-5495
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Fax |
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Provider Business Mailing Address
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Address Line | 7 HORSESHOE LN
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City | ROLLING HILLS ESTATES
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State | CA
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Zip | 90274-4823
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Country | US
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Telephone | 310-339-5495
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Fax | 310-698-7054
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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 | 207ZP0101X
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Taxonomy Name | Anatomic Pathology Physician
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License Number | G25015
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License Number State | CA
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