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General NPI Number Information
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NPI Number | 1235666256
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Entity Type | Individual
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Provider Name | JEFF LUKE DC
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Gender | Male
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Dates
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Enumeration Date | 05/22/2017
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Last Update Date | 08/10/2020
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Provider Practice Location Address
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Address Line | 1600 W 38TH ST STE 424
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City | AUSTIN
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State | TX
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Zip | 78731-6407
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Country | US
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Telephone | 512-921-5235
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Fax |
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Provider Business Mailing Address
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Address Line | 306 TILBURY LN
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City | AUSTIN
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State | TX
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Zip | 78745-2419
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Country | US
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Telephone | 512-921-5235
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 13498
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License Number State | TX
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