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General NPI Number Information
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NPI Number | 1114494713
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Entity Type | Individual
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Provider Name | DR. LUCAS BROHM
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Gender | Male
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Dates
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Enumeration Date | 11/01/2018
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 431 ADAM SHEPHERD PKWY STE 1
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City | SHEPHERDSVILLE
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State | KY
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Zip | 40165-6640
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Country | US
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Telephone | 502-921-0272
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Fax | 502-921-0465
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Provider Business Mailing Address
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Address Line | 190 SHADOWMEADE LN
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City | MT WASHINGTON
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State | KY
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Zip | 40047-6277
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Country | US
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Telephone | 502-538-2332
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Fax | 502-538-2514
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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 | 007544
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 2251E1300X
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Taxonomy Name | Clinical Electrophysiology Physical Therapist
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License Number | 007544
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License Number State | KY
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