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General NPI Number Information
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NPI Number | 1750822185
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Entity Type | Individual
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Provider Name | ALLEN GU MD
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Gender | Male
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Dates
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Enumeration Date | 03/18/2017
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Last Update Date | 08/22/2024
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Provider Practice Location Address
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Address Line | 1750 E GLENDALE AVE
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City | PHOENIX
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State | AZ
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Zip | 85020-4328
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Country | US
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Telephone | 602-242-4928
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Fax | 602-249-4813
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Provider Business Mailing Address
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Address Line | 10063 TOULOUSE DR
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City | SHREVEPORT
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State | LA
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Zip | 71106-8522
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Country | US
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Telephone | 318-350-8141
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | MD61495259
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | MD218340
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License Number State | OR
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Taxonomy #3
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 74056
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License Number State | AZ
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