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General NPI Number Information
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NPI Number | 1841829298
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Entity Type | Individual
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Provider Name | JAMES LUONG DO
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Gender | Male
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Dates
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Enumeration Date | 04/07/2020
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Last Update Date | 02/06/2025
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Provider Practice Location Address
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Address Line | 2435 W BELVEDERE AVE STE 41
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City | BALTIMORE
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State | MD
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Zip | 21215-5224
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Country | US
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Telephone | 410-601-6412
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Fax |
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Provider Business Mailing Address
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Address Line | 4001 N 3RD ST STE 290
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City | PHOENIX
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State | AZ
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Zip | 85012-2071
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Country | US
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | H0097423
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License Number State | MD
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