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NPI 1417200783

NPI 1417200783 : ANNE LUHAN MD INC : MISSION VIEJO, CA

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General NPI Number Information
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    NPI Number           |    1417200783
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    Entity Type          |    Organization 
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    Legal Business Name  |    ANNE LUHAN MD INC 
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Dates
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    Enumeration Date     |    10/23/2012
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    Last Update Date     |    08/15/2023
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Provider Practice Location Address
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    Address Line         |    26691 PLAZA STE 140 
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    City                 |    MISSION VIEJO
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    State                |    CA
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    Zip                  |    92691-8581
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    Country              |    US
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    Telephone            |    949-445-0819
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    Fax                  |    949-866-3757
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Provider Business Mailing Address
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    Address Line         |    26691 PLAZA STE 140 
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    City                 |    MISSION VIEJO
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    State                |    CA
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    Zip                  |    92691-8581
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    Country              |    US
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    Telephone            |    949-445-0819
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    Fax                  |    949-866-3757
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. ANNE  LUHAN 
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    Credential           |    MD
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    Telephone            |    949-388-4800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    208D00000X
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    Taxonomy Name        |    General Practice Physician
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    License Number       |    A104117
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    License Number State |    CA
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