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General NPI Number Information
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NPI Number | 1205382603
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Entity Type | Individual
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Provider Name | LUKE STEARNS R.N.
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Gender | Male
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Dates
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Enumeration Date | 08/27/2016
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Last Update Date | 08/27/2016
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Provider Practice Location Address
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Address Line | 43 FRIEND ST
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City | JENKINS TOWNSHIP
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State | PA
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Zip | 18640-1426
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Country | US
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Telephone | 570-892-6262
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Fax |
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Provider Business Mailing Address
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Address Line | 43 FRIEND ST
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City | JENKINS TOWNSHIP
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State | PA
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Zip | 18640-1426
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Country | US
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Telephone | 570-892-6262
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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 | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | RN638402
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License Number State | PA
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