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General NPI Number Information
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NPI Number | 1023703063
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Entity Type | Individual
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Provider Name | MADISON LUCAS
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Gender | Female
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Dates
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Enumeration Date | 04/06/2023
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Last Update Date | 04/06/2023
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Provider Practice Location Address
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Address Line | 150 PAULARINO AVE STE D182
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City | COSTA MESA
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State | CA
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Zip | 92626-3302
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Country | US
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Telephone | 866-300-7227
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Fax |
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Provider Business Mailing Address
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Address Line | 15238 MCCANN PL
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City | LA MIRADA
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State | CA
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Zip | 90638-1446
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Country | US
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Telephone | 714-980-2998
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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 | 95024630
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License Number State | CA
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