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General NPI Number Information
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NPI Number | 1023269107
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Entity Type | Individual
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Provider Name | RICHARD KEVIN LUGER M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/07/2008
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Last Update Date | 06/09/2022
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Provider Practice Location Address
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Address Line | 1760 AF PENTAGON RM 4A870
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City | WASHINGTON
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State | DC
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Zip | 20330-1907
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Country | US
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Telephone | 36-973-2557
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Fax | 703-614-1663
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Provider Business Mailing Address
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Address Line | 1760 AF PENTAGON
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City | WASHINGTON
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State | DC
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Zip | 20330-0001
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Country | US
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Telephone | 36-973-2557
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Fax | 36-141-6637
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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 | 2083A0100X
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Taxonomy Name | Aerospace Medicine Physician
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License Number | 0101244262
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0101244262
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License Number State | VA
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