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General NPI Number Information
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NPI Number | 1013614148
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Entity Type | Individual
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Provider Name | CHRISTOPHER MICHAEL LUCIA FNP
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Gender | Male
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Dates
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Enumeration Date | 02/09/2023
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 36 E 57TH ST
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City | NEW YORK
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State | NY
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Zip | 10022-2500
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Country | US
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Telephone | 212-600-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 74 W 85TH ST APT 10
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City | NEW YORK
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State | NY
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Zip | 10024-4581
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Country | US
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Telephone | 203-446-7909
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 349846
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License Number State | NY
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