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General NPI Number Information
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NPI Number | 1346533866
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Entity Type | Individual
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Provider Name | CHRISTOPHER T LUTTIG MD
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Gender | Male
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Dates
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Enumeration Date | 05/17/2011
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Last Update Date | 06/29/2016
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Provider Practice Location Address
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Address Line | 2300 E CARY ST APT 304
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City | RICHMOND
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State | VA
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Zip | 23223-7822
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Country | US
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Telephone | 678-592-6659
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Fax |
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Provider Business Mailing Address
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Address Line | 2300 E CARY ST APT 304
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City | RICHMOND
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State | VA
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Zip | 23223-7822
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Country | US
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Telephone | 678-592-6659
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 0101253437
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License Number State | VA
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