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General NPI Number Information
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NPI Number | 1790080109
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Entity Type | Organization
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Legal Business Name | ROGER J LUNKE MD PA
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Dates
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Enumeration Date | 01/14/2011
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Last Update Date | 01/14/2011
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Provider Practice Location Address
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Address Line | 540 MADISON OAK DR STE 350
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City | SAN ANTONIO
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State | TX
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Zip | 78258-3921
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Country | US
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Telephone | 210-490-7470
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Fax | 210-404-1464
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Provider Business Mailing Address
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Address Line | 540 MADISON OAK DR STE 350
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City | SAN ANTONIO
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State | TX
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Zip | 78258-3921
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Country | US
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Telephone | 210-490-7470
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Fax | 210-404-1464
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROGER J LUNKE
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Credential | MD
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Telephone | 210-490-7470
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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