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General NPI Number Information
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NPI Number | 1871761452
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Entity Type | Organization
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Legal Business Name | PHILIP F. LUKOFF DPM PC
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Dates
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Enumeration Date | 02/15/2008
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Last Update Date | 02/15/2008
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Provider Practice Location Address
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Address Line | 192 WORCESTER RD
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City | NATICK
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State | MA
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Zip | 01760-2252
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Country | US
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Telephone | 508-650-3668
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Fax | 508-650-1159
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Provider Business Mailing Address
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Address Line | 192 WORCESTER RD
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City | NATICK
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State | MA
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Zip | 01760-2252
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Country | US
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Telephone | 508-650-3668
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Fax | 508-650-1159
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PHILIP F LUKOFF
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Credential | DPM
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Telephone | 508-650-3668
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | 1735
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License Number State | MA
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