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General NPI Number Information
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NPI Number | 1609284025
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Entity Type | Organization
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Legal Business Name | JEFFREY LUE, MD PLLC
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Dates
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Enumeration Date | 07/29/2014
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Last Update Date | 04/05/2018
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Provider Practice Location Address
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Address Line | 6501 PRESTON RD STE 100
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City | PLANO
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State | TX
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Zip | 75024-2610
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Country | US
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Telephone | 469-322-1400
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Fax | 469-322-1401
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Provider Business Mailing Address
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Address Line | 6501 PRESTON RD STE 100
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City | PLANO
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State | TX
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Zip | 75024-2610
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Country | US
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Telephone | 469-322-1400
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Fax | 469-322-1401
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Authorized Official
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Title or Position | ORTHOPEDIC SURGEON
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Name | DR. JEFFREY LUE
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Credential | MD
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Telephone | 917-299-8165
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | P7152
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License Number State | TX
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