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General NPI Number Information
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NPI Number | 1538135959
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Entity Type | Individual
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Provider Name | MICHAEL JAMES LUZAR M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/25/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 500 GYPSY LN RHEUMATOLOGY ASSOCIATES INC.
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City | YOUNGSTOWN
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State | OH
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Zip | 44504-1315
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Country | US
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Telephone | 330-884-4740
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Fax | 330-884-4738
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Provider Business Mailing Address
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Address Line | 500 GYPSY LN RHEUMATOLOGY ASSOCIATES INC.
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City | YOUNGSTOWN
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State | OH
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Zip | 44504-1315
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Country | US
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Telephone | 330-884-4740
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Fax | 330-884-4738
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 35 -- 03 -- 6237 --L
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License Number State | OH
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