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General NPI Number Information
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NPI Number | 1114182904
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Entity Type | Individual
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Provider Name | ERNEST LOUK DPM
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Gender | Male
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Dates
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Enumeration Date | 07/22/2008
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Last Update Date | 01/05/2020
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Provider Practice Location Address
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Address Line | 7601 ROCKFIELD DR
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City | LAS VEGAS
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State | NV
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Zip | 89128-7929
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Country | US
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Telephone | 702-435-4090
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Fax | 866-850-0098
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Provider Business Mailing Address
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Address Line | PO BOX 28654
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City | LAS VEGAS
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State | NV
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Zip | 89126-2654
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Country | US
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Telephone | 702-435-4090
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Fax | 866-850-0098
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 9708
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License Number State | NV
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