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General NPI Number Information
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NPI Number | 1831703511
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Entity Type | Individual
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Provider Name | PAUL LUKE PHARMD
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Gender | Male
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Dates
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Enumeration Date | 09/01/2020
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Last Update Date | 09/01/2020
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Provider Practice Location Address
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Address Line | 701 PORTOLA DR
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City | SAN FRANCISCO
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State | CA
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Zip | 94127-1209
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Country | US
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Telephone | 415-504-6043
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Fax | 702-504-0729
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Provider Business Mailing Address
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Address Line | 22 POPE ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94112-3721
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Country | US
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Telephone | 702-250-4406
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 49499
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License Number State | CA
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