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General NPI Number Information
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NPI Number | 1437235520
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Entity Type | Individual
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Provider Name | LANE M LUXON D.C.
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Gender | Male
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Dates
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Enumeration Date | 10/31/2006
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Last Update Date | 03/02/2012
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Provider Practice Location Address
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Address Line | 105 5TH ST #205
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City | LYNDEN
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State | WA
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Zip | 98264-1966
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Country | US
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Telephone | 360-318-0123
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Fax | 360-318-0424
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Provider Business Mailing Address
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Address Line | PO BOX 388
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City | LYNDEN
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State | WA
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Zip | 98264-0388
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Country | US
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Telephone | 360-318-0123
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Fax | 360-318-0424
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH00002166
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 17996
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License Number State | CA
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