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General NPI Number Information
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NPI Number | 1932099645
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Entity Type | Individual
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Provider Name | MATTHEW LUTHER
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Gender | Male
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Dates
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Enumeration Date | 07/04/2025
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Last Update Date | 07/04/2025
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Provider Practice Location Address
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Address Line | 326 WENDE HALL
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City | BUFFALO
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State | NY
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Zip | 14214-8013
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Country | US
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Telephone | 716-829-3740
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Fax |
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Provider Business Mailing Address
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Address Line | 2389 WALWORTH RD
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City | WALWORTH
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State | NY
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Zip | 14568-9509
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Country | US
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Telephone | 607-483-8731
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 809016
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License Number State | NY
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