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General NPI Number Information
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NPI Number | 1982640348
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Entity Type | Individual
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Provider Name | LUKE J ACKROYD CRNA
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Gender | Male
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Dates
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Enumeration Date | 06/22/2006
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Last Update Date | 11/03/2025
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Provider Practice Location Address
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Address Line | 365 MONTAUK AVE
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City | NEW LONDON
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State | CT
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Zip | 06320-4700
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Country | US
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Telephone | 860-442-0711
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Fax |
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Provider Business Mailing Address
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Address Line | 720 HARRISON AVE # DOB503
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City | BOSTON
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State | MA
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Zip | 02118-2371
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Country | US
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Telephone | 617-414-5405
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | APRN01300
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License Number State | RI
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 209552
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 12.009499
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License Number State | CT
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