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General NPI Number Information
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NPI Number | 1902893076
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Entity Type | Organization
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Legal Business Name | THE LUMI SURGERY INC
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Dates
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Enumeration Date | 10/04/2005
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Last Update Date | 10/16/2007
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Provider Practice Location Address
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Address Line | 270 E STATE ST SUITE 240
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City | ALLIANCE
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State | OH
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Zip | 44601-4957
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Country | US
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Telephone | 330-829-9999
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Fax | 330-821-8501
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Provider Business Mailing Address
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Address Line | 270 E STATE ST SUITE 240
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City | ALLIANCE
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State | OH
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Zip | 44601-4957
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Country | US
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Telephone | 330-829-9999
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Fax | 330-821-8501
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Authorized Official
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Title or Position | DIRECTOR MD
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Name | LUIS FUJIMOTO
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Credential | MD
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Telephone | 330-829-9999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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