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General NPI Number Information
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NPI Number | 1437184660
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Entity Type | Individual
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Provider Name | PAUL LUTHER M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/12/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 1663 DOMINICAN WAY STE 214
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City | SANTA CRUZ
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State | CA
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Zip | 95065-1556
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Country | US
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Telephone | 831-713-5011
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Fax | 831-713-5126
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Provider Business Mailing Address
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Address Line | 1663 DOMINICAN WAY STE 214
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City | SANTA CRUZ
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State | CA
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Zip | 95065-1556
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Country | US
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Telephone | 831-713-5011
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Fax | 831-713-5126
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | A30758
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License Number State | CA
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