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General NPI Number Information
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NPI Number | 1265161194
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Entity Type | Individual
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Provider Name | LUKE HOOKER DMD
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Gender | Male
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Dates
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Enumeration Date | 06/07/2022
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Last Update Date | 11/03/2022
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Provider Practice Location Address
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Address Line | 318 BURR RIDGE PKWY
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City | BURR RIDGE
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State | IL
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Zip | 60527-6485
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Country | US
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Telephone | 630-896-0484
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Fax |
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Provider Business Mailing Address
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Address Line | 1 TOWER LN STE 1820
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City | OAKBROOK TERRACE
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State | IL
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Zip | 60181-4676
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 019.033687
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License Number State | IL
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