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General NPI Number Information
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NPI Number | 1821403528
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Entity Type | Individual
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Provider Name | ALEXANDER GA LEUNG LONG O.D.
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Gender | Male
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Dates
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Enumeration Date | 06/23/2014
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Last Update Date | 07/27/2025
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Provider Practice Location Address
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Address Line | 4401 4TH AVE S
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City | SEATTLE
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State | WA
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Zip | 98134-2311
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Country | US
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Telephone | 206-403-2027
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Fax |
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Provider Business Mailing Address
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Address Line | 31704 116TH AVE SE
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City | AUBURN
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State | WA
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Zip | 98092-3698
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Country | US
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Telephone | 408-753-0840
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 14931TLG
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 8574T
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OD 60631287TX
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License Number State | WA
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