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General NPI Number Information
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NPI Number | 1477388064
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Entity Type | Organization
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Legal Business Name | LUX YOU, PC
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Dates
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Enumeration Date | 09/04/2024
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Last Update Date | 09/04/2024
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Provider Practice Location Address
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Address Line | 6226 E SPRING ST STE 380
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City | LONG BEACH
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State | CA
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Zip | 90815-1444
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Country | US
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Telephone | 562-595-6543
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Fax | 562-452-7207
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Provider Business Mailing Address
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Address Line | 6226 E SPRING ST STE 380
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City | LONG BEACH
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State | CA
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Zip | 90815-1444
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Country | US
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Telephone | 562-595-6543
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Fax | 562-452-7207
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Authorized Official
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Title or Position | OWNER
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Name | DR. GARRETT ANDREW WIRTH
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Credential | MD
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Telephone | 562-595-6543
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number |
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License Number State |
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