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General NPI Number Information
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NPI Number | 1205050887
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Entity Type | Individual
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Provider Name | TAMEKA W LUCAS PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 04/12/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 10410 KENSINGTON PKWY
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City | KENSINGTON
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State | MD
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Zip | 20895-2943
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Country | US
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Telephone | 301-897-2334
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Fax |
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Provider Business Mailing Address
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Address Line | 11422 GRANDVIEW AVE
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City | SILVER SPRING
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State | MD
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Zip | 20902-2742
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Country | US
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Telephone | 301-789-1377
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 18235
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License Number State | MD
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