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General NPI Number Information
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NPI Number | 1922942812
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Entity Type | Organization
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Legal Business Name | TAMMY LUAN MD PC
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Dates
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Enumeration Date | 04/20/2026
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Last Update Date | 04/20/2026
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Provider Practice Location Address
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Address Line | 4060 FOURTH AVE STE 510
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City | SAN DIEGO
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State | CA
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Zip | 92103-2121
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Country | US
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Telephone | 619-686-4011
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Fax |
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Provider Business Mailing Address
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Address Line | 4060 FOURTH AVE STE 510
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City | SAN DIEGO
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State | CA
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Zip | 92103-2121
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Country | US
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Telephone | 408-621-5095
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TAMMY LUAN
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Credential | MD
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Telephone | 408-621-5095
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208C00000X
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Taxonomy Name | Colon & Rectal Surgery Physician
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License Number |
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License Number State |
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