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General NPI Number Information
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NPI Number | 1144285602
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Entity Type | Individual
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Provider Name | JOSEPH W LUCERO MD
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Gender | Male
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Dates
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Enumeration Date | 04/19/2006
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Last Update Date | 03/25/2015
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Provider Practice Location Address
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Address Line | 2001 SCIOTO TRL KING'S DAUGHTERS MEDICAL CENTER OHIO
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City | PORTSMOUTH
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State | OH
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Zip | 45662-2845
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Country | US
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Telephone | 740-991-4000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 390 TRI-STATE ANESTHESIA GROUP PSC
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City | HUNTINGTON
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State | WV
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Zip | 25708-0390
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Country | US
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Telephone | 304-208-6411
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Fax | 304-429-3109
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 2005021464
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | G64221
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 35.124078
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 0101047756
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License Number State | VA
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Taxonomy #5
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | M7130
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License Number State | ID
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Taxonomy #6
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 23203
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License Number State | NE
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Taxonomy #7
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 7836A
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License Number State | WY
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Taxonomy #8
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MD438898
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License Number State | PA
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Taxonomy #9
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 13268
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License Number State | ND
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