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General NPI Number Information
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NPI Number | 1396520227
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Entity Type | Individual
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Provider Name | LUKE EDWARD PARTUSCH MA, LAT, ATC, CSCS
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Gender | Male
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Dates
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Enumeration Date | 08/29/2023
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Last Update Date | 10/14/2025
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Provider Practice Location Address
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Address Line | 14565 PORTAL CIR STE 103
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City | LA VISTA
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State | NE
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Zip | 68138-6624
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Country | US
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Telephone | 402-253-4522
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Fax |
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Provider Business Mailing Address
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Address Line | 14610 MARGO ST
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City | OMAHA
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State | NE
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Zip | 68138-6446
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Country | US
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Telephone | 402-960-7348
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 1270
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License Number State | NE
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