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NPI 1043660152

NPI 1043660152 : LUCAS SCHIPPERS DPT : WICHITA, KS

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General NPI Number Information
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    NPI Number           |    1043660152
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    Entity Type          |    Individual 
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    Provider Name        |    LUCAS SCHIPPERS DPT
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/20/2016
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    Last Update Date     |    12/09/2024
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Provider Practice Location Address
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    Address Line         |    7335 W 33RD ST N 
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    City                 |    WICHITA
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    State                |    KS
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    Zip                  |    67205-9368
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    Country              |    US
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    Telephone            |    316-866-7067
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    Fax                  |    844-788-4005
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Provider Business Mailing Address
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    Address Line         |    2401 TOWNCREST DR 
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    City                 |    IOWA CITY
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    State                |    IA
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    Zip                  |    52240-6631
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    Country              |    US
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    Telephone            |    319-354-2429
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    Fax                  |    319-338-5775
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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        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    082880
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    License Number State |    IA
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