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General NPI Number Information
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NPI Number | 1366849416
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Entity Type | Individual
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Provider Name | MONIQUE KYM LUXENBURG DPM
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Gender | Female
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Dates
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Enumeration Date | 12/04/2014
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 7711 W RIDGEWOOD DR
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City | PARMA
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State | OH
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Zip | 44129-5553
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Country | US
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Telephone | 440-885-1000
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Fax | 440-255-9400
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Provider Business Mailing Address
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Address Line | 9663 SANTA MONICA BLVD # 1151
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City | BEVERLY HILLS
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State | CA
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Zip | 90210-4303
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 36.003974
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 36.003974
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License Number State | OH
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