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General NPI Number Information
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NPI Number | 1225060965
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Entity Type | Individual
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Provider Name | JAMES D. LUVISON DPM
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Gender | Male
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Dates
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Enumeration Date | 07/06/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1116 W NORTHWEST HWY
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City | PALATINE
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State | IL
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Zip | 60067-2214
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Country | US
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Telephone | 847-590-5606
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Fax | 847-590-5609
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Provider Business Mailing Address
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Address Line | PO BOX 454
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City | PARK RIDGE
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State | IL
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Zip | 60068-0454
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Country | US
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Telephone | 847-590-5606
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Fax | 847-590-5609
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 0000000461
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State | IL
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