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General NPI Number Information
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NPI Number | 1639385800
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Entity Type | Individual
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Provider Name | OKSANA B. LUKE M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/15/2007
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Last Update Date | 01/06/2012
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Provider Practice Location Address
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Address Line | 1276 FULTON AVE
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City | BRONX
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State | NY
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Zip | 10456-3402
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Country | US
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Telephone | 718-901-8297
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Fax | 718-901-8589
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Provider Business Mailing Address
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Address Line | 584 LAFAYETTE AVE
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City | WESTWOOD
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State | NJ
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Zip | 07675-2824
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Country | US
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Telephone | 917-373-2140
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Fax | 201-358-0108
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 99895
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 247583
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 25MA08692900
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License Number State | NJ
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