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General NPI Number Information
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NPI Number | 1982593794
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Entity Type | Individual
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Provider Name | ELAINE PHU RD
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Gender | Female
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Dates
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Enumeration Date | 06/30/2025
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Last Update Date | 08/05/2026
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Provider Practice Location Address
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Address Line | 2977 REDONDO AVE
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City | LONG BEACH
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State | CA
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Zip | 90806-2445
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Country | US
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Telephone | 552-988-3418
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Fax |
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Provider Business Mailing Address
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Address Line | 2977 REDONDO AVE
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City | LONG BEACH
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State | CA
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Zip | 90806-2445
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Country | US
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Telephone | 562-988-3418
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Fax | 562-595-5819
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 86198989
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License Number State | CA
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