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General NPI Number Information
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NPI Number | 1083383178
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Entity Type | Organization
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Legal Business Name | LUCAS CYLKE PHD PLLC
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Dates
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Enumeration Date | 09/10/2021
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Last Update Date | 07/05/2022
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Provider Practice Location Address
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Address Line | 443 W PLUMB LN
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City | RENO
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State | NV
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Zip | 89509-3766
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Country | US
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Telephone | 775-386-2758
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Fax |
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Provider Business Mailing Address
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Address Line | 443 W PLUMB LN
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City | RENO
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State | NV
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Zip | 89509-3766
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Country | US
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Telephone | 775-386-2758
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST, BUSINESS OWNER
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Name | DR. LUCAS CYLKE
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Credential | PHD
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Telephone | 775-386-2758
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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