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General NPI Number Information
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NPI Number | 1255214516
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Entity Type | Individual
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Provider Name | LUKE STELMACK
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Gender |
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Dates
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Enumeration Date | 07/25/2025
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Last Update Date | 07/25/2025
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Provider Practice Location Address
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Address Line | 5605 W EUGIE AVE STE 212&215
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City | GLENDALE
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State | AZ
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Zip | 85304-1272
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Country | US
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Telephone | 480-210-6445
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Fax |
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Provider Business Mailing Address
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Address Line | 1675 E MORTEN AVE UNIT 3103
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City | PHOENIX
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State | AZ
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Zip | 85020-4690
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Country | US
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Telephone |
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1373343
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License Number State | TX
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