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General NPI Number Information
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NPI Number | 1518109743
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Entity Type | Individual
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Provider Name | LUCAS E CROAK PA-C
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Gender | Male
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Dates
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Enumeration Date | 04/02/2009
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Last Update Date | 01/03/2025
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Provider Practice Location Address
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Address Line | 5500 N MEADOWS DR
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City | GROVE CITY
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State | OH
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Zip | 43123-7687
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Country | US
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Telephone | 614-488-1816
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Fax |
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Provider Business Mailing Address
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Address Line | 340 POLARIS PKWY
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City | WESTERVILLE
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State | OH
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Zip | 43082-7971
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Country | US
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Telephone | 614-545-7900
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Fax | 614-545-7901
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 50.002894RX
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 50.002894
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License Number State | OH
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