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General NPI Number Information
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NPI Number | 1942614326
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Entity Type | Individual
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Provider Name | GENE NICHOLAS LALUK RPH
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Gender | Male
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Dates
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Enumeration Date | 06/13/2014
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Last Update Date | 02/01/2026
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Provider Practice Location Address
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Address Line | 16545 E PALISADES BLVD
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City | FOUNTAIN HILLS
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State | AZ
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Zip | 85268-3707
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Country | US
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Telephone | 480-836-8351
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Fax |
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Provider Business Mailing Address
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Address Line | 15507 E TEPEE DR
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City | FOUNTAIN HILLS
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State | AZ
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Zip | 85268-1409
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Country | US
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Telephone | 480-862-2580
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | S06587
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License Number State | AZ
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