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General NPI Number Information
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NPI Number | 1477879062
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Entity Type | Individual
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Provider Name | JAMES ARNOLD LUEBBERS MD
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Gender | Male
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Dates
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Enumeration Date | 04/08/2010
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Last Update Date | 04/08/2010
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Provider Practice Location Address
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Address Line | 687 EAST KELLY AVE. BX 3797
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City | JACKSON
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State | WY
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Zip | 83001-3797
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Country | US
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Telephone | 307-734-6553
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Fax | 307-733-8444
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Provider Business Mailing Address
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Address Line | 687 EAST KELLY AVE. BX 3797
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City | JACKSON
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State | WY
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Zip | 83001-3797
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Country | US
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Telephone | 307-734-6553
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Fax | 307-733-8444
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | G34211
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 6046A
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License Number State | WY
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