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General NPI Number Information
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NPI Number | 1053793919
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Entity Type | Individual
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Provider Name | SARAH ELIZABETH LUCAS NP
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Gender | Female
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Dates
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Enumeration Date | 06/26/2015
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Last Update Date | 01/24/2023
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Provider Practice Location Address
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Address Line | 1701 SALMON CREEK LN
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City | JUNEAU
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State | AK
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Zip | 99801-7868
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Country | US
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Telephone | 907-796-8774
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Fax | 907-796-8728
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Provider Business Mailing Address
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Address Line | 1701 SALMON CREEK LN
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City | JUNEAU
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State | AK
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Zip | 99801-7868
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Country | US
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Telephone | 907-796-8774
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Fax | 907-796-8728
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 250648
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | RN280377
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 164848
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License Number State | AK
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