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General NPI Number Information
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NPI Number | 1427056639
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Entity Type | Individual
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Provider Name | CHRISTOPHER F LUCCHESE DO
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Gender | Male
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Dates
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Enumeration Date | 07/12/2005
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Last Update Date | 05/20/2020
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Provider Practice Location Address
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Address Line | 10935 ESTATE LN STE 395
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City | DALLAS
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State | TX
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Zip | 75238-5139
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Country | US
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Telephone | 972-798-8001
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 397
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City | SHERMAN
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State | TX
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Zip | 75091-0397
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Country | US
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Telephone | 419-236-2651
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 34-00-5843-L
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | P1784
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | P1784
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License Number State | TX
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