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General NPI Number Information
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NPI Number | 1659620953
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Entity Type | Individual
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Provider Name | MARK RICHARD LUKOWITSKY PH.D.
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Gender | Male
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Dates
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Enumeration Date | 08/31/2012
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Last Update Date | 08/31/2012
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Provider Practice Location Address
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Address Line | 25 HACKETT BLVD DEPARTMENT OF PSYCHIATRY
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City | ALBANY
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State | NY
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Zip | 12208-3462
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Country | US
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Telephone | 518-262-5511
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Fax |
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Provider Business Mailing Address
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Address Line | 159 S ALLEN ST
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City | ALBANY
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State | NY
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Zip | 12208-2126
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Country | US
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Telephone | 814-574-7477
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Fax |
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 019739-1
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License Number State | NY
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