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NPI 1326776774

NPI 1326776774 : LUCAS DE ALMEIDA FERREIRA DPT : DARIEN, CT

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General NPI Number Information
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    NPI Number           |    1326776774
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    Entity Type          |    Individual 
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    Provider Name        |    LUCAS DE ALMEIDA FERREIRA DPT
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/12/2022
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    Last Update Date     |    12/05/2025
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Provider Practice Location Address
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    Address Line         |    1540 POST RD 
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    City                 |    DARIEN
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    State                |    CT
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    Zip                  |    06820-5940
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    Country              |    US
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    Telephone            |    203-309-5303
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    Fax                  |    203-309-5306
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Provider Business Mailing Address
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    Address Line         |    152 SAINT JAMES AVE S 
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    City                 |    SAINT JAMES
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    State                |    NY
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    Zip                  |    11780-2812
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    Country              |    US
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    Telephone            |    203-615-8308
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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        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    055449
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    License Number State |    NY
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Taxonomy #2
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    13645
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    License Number State |    CT
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