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General NPI Number Information
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NPI Number | 1639360381
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Entity Type | Individual
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Provider Name | LUKE C JEFFRIES DPM
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Gender | Male
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Dates
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Enumeration Date | 08/07/2007
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Last Update Date | 04/02/2025
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Provider Practice Location Address
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Address Line | 364 E MAIN ST
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City | ANSONIA
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State | CT
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Zip | 06401-1904
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Country | US
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Telephone | 203-734-4806
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Fax | 203-734-8265
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Provider Business Mailing Address
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Address Line | 364 E MAIN ST
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City | ANSONIA
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State | CT
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Zip | 06401-1904
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Country | US
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Telephone | 203-734-4806
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Fax | 203-734-4806
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 1836
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License Number State | TX
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