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General NPI Number Information
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NPI Number | 1184112468
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Entity Type | Individual
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Provider Name | LUCAS JOHN RINDY DO
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Gender | Male
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Dates
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Enumeration Date | 04/23/2018
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Last Update Date | 07/09/2024
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Provider Practice Location Address
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Address Line | 2950 CLEVELAND CLINIC BLVD
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City | WESTON
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State | FL
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Zip | 33331-3625
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Country | US
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Telephone | 954-659-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 2250 GRIFFON RD UNIT 324
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City | VERO BEACH
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State | FL
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Zip | 32966-2568
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Country | US
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Telephone | 330-506-2440
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 20965
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License Number State | FL
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