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General NPI Number Information
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NPI Number | 1235920521
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Entity Type | Individual
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Provider Name | AVINASH LUTCHMI-PERSAD CRNP
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Gender | Male
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Dates
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Enumeration Date | 05/15/2025
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Last Update Date | 06/10/2025
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Provider Practice Location Address
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Address Line | 1203 LANGHORNE NEWTOWN RD STE 226
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City | LANGHORNE
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State | PA
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Zip | 19047-1224
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Country | US
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Telephone | 215-710-4460
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Fax |
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Provider Business Mailing Address
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Address Line | 136 HANCOCK RD
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City | WARMINSTER
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State | PA
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Zip | 18974-5316
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Country | US
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Telephone | 267-980-0836
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | SP029972
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License Number State | PA
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