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General NPI Number Information
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NPI Number | 1649324161
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Entity Type | Individual
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Provider Name | LUTHER KHANH CHAU DC, LMP
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Gender | Male
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Dates
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Enumeration Date | 01/22/2007
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Last Update Date | 12/09/2014
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Provider Practice Location Address
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Address Line | 3214 50TH ST CT NW SUITE 203
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City | GIG HARBOR
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State | WA
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Zip | 98335
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Country | US
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Telephone | 253-254-5653
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Fax | 877-519-9596
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Provider Business Mailing Address
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Address Line | 3214 50TH ST CT NW SUITE 203
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City | GIG HARBOR
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State | WA
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Zip | 98335
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Country | US
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Telephone | 253-254-5653
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Fax | 877-519-9596
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | MA00019867
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 60423749
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MA00019867
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License Number State | WA
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