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General NPI Number Information
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NPI Number | 1306029731
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Entity Type | Individual
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Provider Name | JOSEPH CURRIE LUCKETT I AU.D.
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Gender | Male
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Dates
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Enumeration Date | 12/07/2007
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Last Update Date | 12/07/2007
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Provider Practice Location Address
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Address Line | 402 COOMER ST STE. 101
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City | SOMERSET
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State | KY
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Zip | 42503-3824
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Country | US
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Telephone | 606-451-0098
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Fax |
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Provider Business Mailing Address
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Address Line | 402 COOMER ST SUITE 101
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City | SOMERSET
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State | KY
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Zip | 42503-3824
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Country | US
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Telephone | 606-451-0098
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | AY107
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | 0474
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | KY207
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License Number State | KY
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