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General NPI Number Information
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NPI Number | 1467444190
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Entity Type | Organization
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Legal Business Name | LUKE PROSTHETIC AND ORTHOTIC LAB, INC.
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Dates
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Enumeration Date | 08/18/2005
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Last Update Date | 11/22/2021
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Provider Practice Location Address
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Address Line | 315 E FOULKE AVE
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City | FINDLAY
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State | OH
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Zip | 45840-4619
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Country | US
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Telephone | 740-993-0066
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Fax | 419-664-4629
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Provider Business Mailing Address
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Address Line | 117 E WALLACE ST
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City | FINDLAY
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State | OH
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Zip | 45840-5219
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Country | US
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Telephone | 419-422-5009
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Fax | 419-422-6766
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Authorized Official
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Title or Position | OWNER, PROSTHETIC
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Name | MR. JEFFREY ALAN LUKE
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Credential | CPO
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Telephone | 740-993-0066
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number | LP-0069
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License Number State | OH
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