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General NPI Number Information
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NPI Number | 1831260884
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Entity Type | Individual
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Provider Name | EDGAR A. LUEG MD
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Gender | Male
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Dates
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Enumeration Date | 11/13/2006
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Last Update Date | 08/19/2008
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Provider Practice Location Address
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Address Line | 2660 E MAIN ST STE 201
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City | VENTURA
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State | CA
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Zip | 93003-2773
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Country | US
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Telephone | 805-643-9999
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Fax |
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Provider Business Mailing Address
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Address Line | 2660 E MAIN ST STE 201
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City | VENTURA
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State | CA
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Zip | 93003-2773
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Country | US
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Telephone | 805-643-9999
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | A52915
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207YS0123X
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Taxonomy Name | Facial Plastic Surgery Physician
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License Number | A52915
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207YX0602X
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Taxonomy Name | Otolaryngic Allergy Physician
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License Number | A52915
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 207YX0905X
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Taxonomy Name | Otolaryngology/Facial Plastic Surgery Physician
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License Number | A52915
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 207YX0901X
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Taxonomy Name | Otology & Neurotology Physician
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License Number | A52915
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License Number State | CA
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Taxonomy #6
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Taxonomy Code | 207YP0228X
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Taxonomy Name | Pediatric Otolaryngology Physician
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License Number | A52915
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License Number State | CA
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Taxonomy #7
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Taxonomy Code | 207YX0007X
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Taxonomy Name | Plastic Surgery within the Head & Neck (Otolaryngology) Physician
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License Number | A52915
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License Number State | CA
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Taxonomy #8
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Taxonomy Code | 207YS0012X
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Taxonomy Name | Sleep Medicine (Otolaryngology) Physician
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License Number | A52915
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License Number State | CA
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