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General NPI Number Information
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NPI Number | 1184610743
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Entity Type | Individual
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Provider Name | IRWIN LUY MD
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Gender | Male
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Dates
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Enumeration Date | 09/20/2005
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Last Update Date | 06/29/2009
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Provider Practice Location Address
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Address Line | 151 SARATOGA LN
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City | SWEDESBORO
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State | NJ
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Zip | 08085-4201
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Country | US
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Telephone | 302-545-5986
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Fax |
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Provider Business Mailing Address
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Address Line | 151 SARATOGA LN
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City | SWEDESBORO
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State | NJ
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Zip | 08085-4201
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Country | US
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Telephone | 856-241-1223
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | ME81776
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License Number State | FL
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