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General NPI Number Information
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NPI Number | 1245843689
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Entity Type | Organization
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Legal Business Name | ROBERT LUNKA, DDS, PLLC
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Dates
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Enumeration Date | 08/25/2020
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Last Update Date | 08/25/2020
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Provider Practice Location Address
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Address Line | 895 RIO EAST CT STE B
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22901-8004
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Country | US
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Telephone | 434-817-5440
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Fax |
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Provider Business Mailing Address
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Address Line | 51 WOODLAKE DR
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22901-1327
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Country | US
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Telephone | 804-363-1189
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Fax |
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Authorized Official
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Title or Position | OWNER/ PEDIATRIC DENTIST
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Name | DR. ROBERT LUNKA
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Credential | DDS, MSD
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Telephone | 804-363-1189
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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