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General NPI Number Information
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NPI Number | 1831882190
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Entity Type | Individual
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Provider Name | DR. CLAUDINE LUU
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Gender | Female
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Dates
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Enumeration Date | 06/01/2023
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Last Update Date | 06/01/2023
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Provider Practice Location Address
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Address Line | 5620 LAGOON DR
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City | FORT LAUDERDALE
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State | FL
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Zip | 33312-6434
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Country | US
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Telephone | 514-909-0277
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Fax |
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Provider Business Mailing Address
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Address Line | 4510 CARTIER
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City | MONTREAL
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State | QUEBEC
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Zip | H2H1W8
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Country | CA
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 14198
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License Number State | FL
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