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General NPI Number Information
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NPI Number | 1174783450
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Entity Type | Individual
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Provider Name | LUKE PACKARD BREWSTER MD PHD MA
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Gender | Male
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Dates
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Enumeration Date | 06/11/2008
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 222 PIEDMONT AVE
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City | CINCINNATI
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State | OH
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Zip | 45219-4231
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Country | US
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Telephone | 513-558-3700
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Fax | 513-475-8247
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Provider Business Mailing Address
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Address Line | PO BOX 636256
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City | CINCINNATI
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State | OH
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Zip | 45263-6256
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Country | US
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Telephone | 513-585-6200
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Fax | 513-245-3672
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 036-110325
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 62820
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 35.154848
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License Number State | OH
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