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General NPI Number Information
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NPI Number | 1194896688
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Entity Type | Individual
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Provider Name | LINDA LUSTER M.D.
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Gender | Female
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Dates
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Enumeration Date | 11/13/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 200 W MERCER ST SUITE 515
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City | SEATTLE
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State | WA
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Zip | 98119-3995
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Country | US
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Telephone | 206-284-6907
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Fax | 206-282-2614
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Provider Business Mailing Address
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Address Line | 381 NW 112TH ST
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City | SEATTLE
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State | WA
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Zip | 98177-4840
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Country | US
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Telephone | 206-367-5218
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD00017884
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License Number State | WA
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