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General NPI Number Information
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NPI Number | 1174549414
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Entity Type | Individual
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Provider Name | EDDY D LUKE D.C.
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Gender | Male
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Dates
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Enumeration Date | 07/13/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1915 VALLEY VIEW BLVD REAR
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City | ALTOONA
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State | PA
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Zip | 16602-6527
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Country | US
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Telephone | 814-941-1400
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Fax | 814-941-0862
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Provider Business Mailing Address
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Address Line | PO BOX 1104
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City | ALTOONA
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State | PA
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Zip | 16603-1104
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Country | US
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Telephone | 814-943-4116
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Fax |
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC009604
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License Number State | PA
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