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General NPI Number Information
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NPI Number | 1942140710
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Entity Type | Individual
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Provider Name | LUKE DAVID REGIS-COLLIER CAA
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Gender | Male
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Dates
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Enumeration Date | 03/31/2026
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Last Update Date | 03/31/2026
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Provider Practice Location Address
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Address Line | 52 UNDERWOOD ST
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City | ORLANDO
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State | FL
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Zip | 32806-1110
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Country | US
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Telephone | 321-841-5111
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Fax |
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Provider Business Mailing Address
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Address Line | 671 BROOKSIDE RD
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City | MAITLAND
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State | FL
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Zip | 32751-5126
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Country | US
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Telephone | 407-256-0379
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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 | 367H00000X
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Taxonomy Name | Anesthesiologist Assistant
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License Number |
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License Number State | FL
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