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Individual
MR. LUONG HOC NGO
Active
Individual
MR. LUONG HOC NGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8275673
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
079RW
BCBS
NC
01
—
694555
ACW MPN UHC
NC
01
—
7126470
AETNA
NC
01
—
Z9S5N4
ACW MPN UHC
NC
Enumeration date
07/15/2006
Last updated
07/08/2007
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