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General NPI Number Information
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NPI Number | 1932003241
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Entity Type | Individual
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Provider Name | DUSTIN LUU RN
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Gender | Male
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Dates
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Enumeration Date | 10/08/2026
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Last Update Date | 10/08/2026
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Provider Practice Location Address
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Address Line | 2211 CHAPEL AVE W STE 501
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City | CHERRY HILL
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State | NJ
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Zip | 08002-2059
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Country | US
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Telephone | 856-922-5180
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Fax | 215-521-6194
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Provider Business Mailing Address
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Address Line | 2211 CHAPEL AVE W STE 501
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City | CHERRY HILL
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State | NJ
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Zip | 08002-2059
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Country | US
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Telephone | 856-922-5180
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Fax | 215-521-6194
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 26NR18761400
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License Number State | NJ
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