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General NPI Number Information
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NPI Number | 1396038956
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Entity Type | Individual
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Provider Name | SCOTT BRUCE LUKENS M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/16/2011
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Last Update Date | 07/19/2016
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Provider Practice Location Address
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Address Line | 620 N DIERS AVE STE 200
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City | GRAND ISLAND
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State | NE
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Zip | 68803-4984
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Country | US
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Telephone | 308-384-5400
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Fax | 308-384-5201
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Provider Business Mailing Address
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Address Line | 620 N DIERS AVE STE 200
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City | GRAND ISLAND
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State | NE
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Zip | 68803-4984
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Country | US
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Telephone | 308-384-5400
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Fax | 308-384-5201
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 29127
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License Number State | NE
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