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General NPI Number Information
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NPI Number | 1861971947
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Entity Type | Individual
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Provider Name | ALLEN G LUKE L.AC
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Gender | Male
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Dates
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Enumeration Date | 08/09/2018
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Last Update Date | 08/09/2018
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Provider Practice Location Address
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Address Line | 86-21 53 AVE
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City | ELMHURST
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State | NY
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Zip | 11373
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Country | US
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Telephone | 646-339-6883
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Fax |
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Provider Business Mailing Address
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Address Line | 17 BENNETT CT
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City | EAST BRUNSWICK
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State | NJ
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Zip | 08816
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Country | US
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Telephone | 732-390-1861
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 000480
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License Number State | NY
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