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General NPI Number Information
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NPI Number | 1821518531
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Entity Type | Individual
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Provider Name | ALBERT DONALD LUONG MD
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Gender | Male
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Dates
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Enumeration Date | 06/23/2017
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Last Update Date | 06/07/2025
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Provider Practice Location Address
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Address Line | 1215 E MICHIGAN AVE
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City | LANSING
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State | MI
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Zip | 48912-1811
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Country | US
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Telephone | 517-267-2487
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Fax |
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Provider Business Mailing Address
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Address Line | 5150 N 6TH ST STE 104
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City | FRESNO
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State | CA
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Zip | 93710-7505
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Country | US
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Telephone | 559-899-9607
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Fax | 559-222-5028
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 4301112921
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | A167624
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License Number State | CA
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