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General NPI Number Information
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NPI Number | 1346582285
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Entity Type | Organization
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Legal Business Name | LUU Q. DOAN, MD, INC.
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Dates
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Enumeration Date | 03/18/2013
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Last Update Date | 03/18/2013
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Provider Practice Location Address
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Address Line | 18819 DELAWARE ST SUITE 201
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92648-1907
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Country | US
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Telephone | 714-500-0050
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Fax | 714-500-0051
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Provider Business Mailing Address
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Address Line | 18819 DELAWARE ST SUITE 201
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92648-1907
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Country | US
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Telephone | 714-500-0050
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Fax | 714-500-0051
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. LUU DOAN
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Credential | M.D.
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Telephone | 714-500-0050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332900000X
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Taxonomy Name | Non-Pharmacy Dispensing Site
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License Number | A82148
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License Number State | CA
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