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General NPI Number Information
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NPI Number | 1033434683
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Entity Type | Organization
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Legal Business Name | LUCAS AND ASSOCIATES INC
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Dates
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Enumeration Date | 04/06/2010
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Last Update Date | 04/06/2010
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Provider Practice Location Address
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Address Line | 67-1123 MAMALAHOA HWY SUITE 130
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City | KAMUELA
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State | HI
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Zip | 96743-8451
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Country | US
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Telephone | 808-430-7773
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 188
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City | HONOKAA
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State | HI
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Zip | 96727-0188
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Country | US
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Telephone | 808-430-7773
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JAMES R LUCAS
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Credential | MD
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Telephone | 808-430-7773
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | MD9393
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License Number State | HI
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