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General NPI Number Information
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NPI Number | 1164995270
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Entity Type | Individual
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Provider Name | HEATHER MEINHARDT LUCAS LMSW
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Gender | Female
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Dates
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Enumeration Date | 01/10/2019
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Last Update Date | 03/14/2024
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Provider Practice Location Address
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Address Line | 19777 N 76TH ST APT 2246
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City | SCOTTSDALE
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State | AZ
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Zip | 85255-3821
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Country | US
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Telephone | 480-263-1891
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Fax |
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Provider Business Mailing Address
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Address Line | 5901 W BEHREND DR APT 2092
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City | GLENDALE
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State | AZ
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Zip | 85308-6951
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Country | US
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Telephone | 301-325-7938
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Fax |
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | LCSW-20954
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License Number State | AZ
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