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General NPI Number Information
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NPI Number | 1972503803
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Entity Type | Individual
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Provider Name | AUREA A LUZANO M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/21/2005
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Last Update Date | 08/23/2016
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Provider Practice Location Address
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Address Line | 1501 S CALIFORNIA AVE
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City | CHICAGO
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State | IL
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Zip | 60608-1732
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Country | US
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Telephone | 773-257-6850
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Fax |
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Provider Business Mailing Address
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Address Line | 26460 NETWORK PL
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City | CHICAGO
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State | IL
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Zip | 60673-0035
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Country | US
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Telephone | 708-786-2900
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 036-092836
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 036092836
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License Number State | IL
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