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General NPI Number Information
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NPI Number | 1356879399
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Entity Type | Individual
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Provider Name | HUNG DIEU LUONG DDS
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Gender | Male
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Dates
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Enumeration Date | 06/02/2017
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Last Update Date | 01/04/2024
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Provider Practice Location Address
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Address Line | 910 HADDONFIELD BERLIN RD UNIT 8
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City | VOORHEES
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State | NJ
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Zip | 08043-3503
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Country | US
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Telephone | 856-998-1900
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Fax | 856-528-3484
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Provider Business Mailing Address
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Address Line | 1960 CARDINAL LAKE DR
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City | CHERRY HILL
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State | NJ
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Zip | 08003-2904
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Country | US
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Telephone | 215-667-4475
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Fax |
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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 | 22DI02676701
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License Number State | NJ
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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 | 22DI02676700
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DS041315
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License Number State | PA
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