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General NPI Number Information
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NPI Number | 1558628156
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Entity Type | Individual
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Provider Name | LUNA XU M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/19/2012
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Last Update Date | 07/17/2023
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Provider Practice Location Address
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Address Line | 11 RALPH PL STE 311
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City | STATEN ISLAND
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State | NY
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Zip | 10304-4420
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Country | US
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Telephone | 718-224-2711
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Fax | 718-442-3144
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Provider Business Mailing Address
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Address Line | 11 RALPH PL STE 311
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City | STATEN ISLAND
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State | NY
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Zip | 10304-4420
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Country | US
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Telephone |
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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 | 207WX0009X
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Taxonomy Name | Glaucoma Specialist (Ophthalmology) Physician
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License Number | 271008
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License Number State | NY
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