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General NPI Number Information
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NPI Number | 1124816988
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Entity Type | Individual
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Provider Name | DARIA MICHELLE LUGO
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Gender | Female
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Dates
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Enumeration Date | 04/30/2025
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Last Update Date | 05/02/2025
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Provider Practice Location Address
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Address Line | 215 W PERSHING RD STE 403
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City | KANSAS CITY
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State | MO
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Zip | 64108-4305
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Country | US
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Telephone | 785-429-4767
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Fax | 816-207-0639
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Provider Business Mailing Address
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Address Line | 215 W PERSHING RD STE 403
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City | KANSAS CITY
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State | MO
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Zip | 64108-4305
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Country | US
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Telephone | 785-429-4767
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Fax | 816-207-0639
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 224P00000X
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Taxonomy Name | Prosthetist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225000000X
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Taxonomy Name | Orthotic Fitter
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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