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General NPI Number Information
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NPI Number | 1902130628
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Entity Type | Individual
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Provider Name | YONG LUO M.D., PH.D.
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Gender | Male
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Dates
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Enumeration Date | 09/28/2009
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Last Update Date | 08/05/2020
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Provider Practice Location Address
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Address Line | 3808 UNION ST STE 7C
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City | FLUSHING
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State | NY
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Zip | 11354-5672
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Country | US
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Telephone | 718-475-9606
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Fax | 718-475-9607
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Provider Business Mailing Address
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Address Line | 3808 UNION ST STE 7C
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City | FLUSHING
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State | NY
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Zip | 11354-5672
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Country | US
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Telephone | 718-445-5705
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Fax | 718-886-7466
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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 | 207KA0200X
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Taxonomy Name | Allergy Physician
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License Number | 267414
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License Number State | NY
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