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General NPI Number Information
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NPI Number | 1194719641
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Entity Type | Individual
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Provider Name | GEORGE W. LUEDKE M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/09/2005
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Last Update Date | 04/30/2018
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Provider Practice Location Address
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Address Line | 1049 CLAYMONT DR
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City | LYNCHBURG
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State | VA
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Zip | 24502-4481
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Country | US
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Telephone | 434-582-1600
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Fax | 434-582-4807
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Provider Business Mailing Address
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Address Line | 1048 TERRACE DR
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City | MARION
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State | VA
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Zip | 24354-4138
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Country | US
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Telephone | 276-783-1827
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Fax | 276-783-2879
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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 | 2084A0401X
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Taxonomy Name | Addiction Medicine (Psychiatry & Neurology) Physician
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License Number | 0101031815
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 2084F0202X
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Taxonomy Name | Forensic Psychiatry Physician
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License Number | 0101031815
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 0101031815
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License Number State | VA
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