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General NPI Number Information
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NPI Number | 1407577737
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Entity Type | Individual
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Provider Name | OPHELIA LUU PA
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Gender | Female
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Dates
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Enumeration Date | 09/06/2022
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | 1008 E MCDOWELL RD STE A
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City | PHOENIX
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State | AZ
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Zip | 85006-2603
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Country | US
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Telephone | 602-358-8858
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Fax | 602-688-6991
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Provider Business Mailing Address
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Address Line | 3220 N 38TH ST UNIT 38
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City | PHOENIX
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State | AZ
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Zip | 85018-6318
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Country | US
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Telephone | 574-549-2776
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 10003773A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 10571
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 1191147
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License Number State | IN
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