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General NPI Number Information
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NPI Number | 1598710915
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Entity Type | Individual
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Provider Name | LUFKIN R MOSES DO
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Gender | Male
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Dates
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Enumeration Date | 05/24/2006
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Last Update Date | 02/08/2008
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Provider Practice Location Address
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Address Line | 200 E ARIZONA #5
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City | SWEETWATER
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State | TX
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Zip | 79566-7120
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Country | US
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Telephone | 325-235-3800
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Fax | 325-235-3313
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Provider Business Mailing Address
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Address Line | 200 E ARIZONA #5
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City | SWEETWATER
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State | TX
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Zip | 79566-7120
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Country | US
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Telephone | 325-235-3800
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Fax | 325-235-3313
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | E6855
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | E6855
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License Number State | TX
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