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General NPI Number Information
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NPI Number | 1700890308
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Entity Type | Individual
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Provider Name | JOHN ALONZO LUKER MD
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Gender | Male
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Dates
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Enumeration Date | 07/28/2006
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Last Update Date | 12/02/2009
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Provider Practice Location Address
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Address Line | 4029 S CAPITAL OF TEXAS HWY SUITE 115
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City | AUSTIN
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State | TX
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Zip | 78704-7927
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Country | US
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Telephone | 512-326-1141
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Fax | 512-326-4444
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Provider Business Mailing Address
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Address Line | 4029 S CAPITAL OF TEXAS HWY SUITE 115
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City | AUSTIN
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State | TX
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Zip | 78704-7927
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Country | US
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Telephone | 512-326-1141
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Fax | 512-326-4444
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | E2689
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License Number State | TX
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