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General NPI Number Information
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NPI Number | 1841617776
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Entity Type | Individual
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Provider Name | LUKE HILLMAN MD
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Gender | Male
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Dates
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Enumeration Date | 03/28/2014
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Last Update Date | 08/21/2024
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Provider Practice Location Address
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Address Line | 3588 ARCADE ST # 110
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City | VADNAIS HEIGHTS
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State | MN
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Zip | 55127-7135
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Country | US
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Telephone | 612-871-1145
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Fax | 612-870-5491
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Provider Business Mailing Address
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Address Line | PO BOX 14909
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City | MINNEAPOLIS
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State | MN
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Zip | 55414-0909
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Country | US
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Telephone | 612-871-1145
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Fax | 612-870-5491
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 66903-20
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License Number State | WI
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