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General NPI Number Information
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NPI Number | 1194796029
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Entity Type | Individual
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Provider Name | ROBERT LUKIN MD
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Gender | Male
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Dates
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Enumeration Date | 01/30/2006
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Last Update Date | 12/27/2012
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Provider Practice Location Address
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Address Line | 234 GOODMAN ST DEPARTMENT OF RADIOLOGY
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City | CINCINNATI
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State | OH
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Zip | 45267-1000
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Country | US
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Telephone | 513-584-7544
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Fax | 513-584-9100
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Provider Business Mailing Address
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Address Line | 3200 BURNET AVE 3 SOUTH
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City | CINCINNATI
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State | OH
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Zip | 45229-3019
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Country | US
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Telephone | 513-585-5501
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Fax | 513-585-5511
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 35-02-8382
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License Number State | OH
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