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General NPI Number Information
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NPI Number | 1477813517
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Entity Type | Individual
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Provider Name | LUKE THOMAS CHATBURN M.D., PH.D.
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Gender | Male
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Dates
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Enumeration Date | 05/23/2012
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Last Update Date | 01/27/2026
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Provider Practice Location Address
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Address Line | 330 MOUNT AUBURN ST
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City | CAMBRIDGE
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State | MA
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Zip | 02138-5502
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Country | US
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Telephone | 617-716-7000
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Fax | 617-767-7000
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Provider Business Mailing Address
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Address Line | 19 BIRD HILL RD
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City | LEXINGTON
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State | MA
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Zip | 02421-6104
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Country | US
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Telephone | 617-779-7000
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Fax | 617-767-7000
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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 | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 268882
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License Number State | MA
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