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General NPI Number Information
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NPI Number | 1518957554
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Entity Type | Individual
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Provider Name | THOMAS HAROLD LUBESKI DO
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Gender | Male
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Dates
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Enumeration Date | 10/21/2005
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Last Update Date | 12/03/2013
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Provider Practice Location Address
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Address Line | 503 DUTCHMANS LN # A
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City | EASTON
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State | MD
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Zip | 21601-4334
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Country | US
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Telephone | 410-820-6500
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Fax | 410-820-6501
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Provider Business Mailing Address
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Address Line | 10026 OLD OCEAN CITY BLVD BUILDING ONE
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City | BERLIN
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State | MD
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Zip | 21811-1288
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Country | US
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Telephone | 410-629-6863
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Fax | 410-629-6869
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | H0063448
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License Number State | MD
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