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General NPI Number Information
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NPI Number | 1528531589
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Entity Type | Organization
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Legal Business Name | LUCAS HOME CARE SERVICES
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Dates
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Enumeration Date | 01/02/2019
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Last Update Date | 03/10/2023
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Provider Practice Location Address
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Address Line | 6387 CENTER DR STE 13
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City | NORFOLK
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State | VA
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Zip | 23502-4109
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Country | US
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Telephone | 334-449-8918
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Fax |
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Provider Business Mailing Address
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Address Line | 4233 S COURT ST
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City | MONTGOMERY
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State | AL
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Zip | 36105-2817
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Country | US
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Telephone | 133-449-8918
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | BARBARA LUCAS
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Credential | RN
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Telephone | 757-395-4398
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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