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General NPI Number Information
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NPI Number | 1548141021
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Entity Type | Organization
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Legal Business Name | LUCKY MEDICAL ASSOCIATES LLC
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Dates
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Enumeration Date | 09/10/2025
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Last Update Date | 09/10/2025
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Provider Practice Location Address
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Address Line | 3231 MCMULLEN BOOTH RD FL 1
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City | SAFETY HARBOR
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State | FL
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Zip | 34695-6607
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Country | US
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Telephone | 727-725-6905
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Fax | 727-266-4931
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Provider Business Mailing Address
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Address Line | 3231 MCMULLEN BOOTH RD FL 1
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City | SAFETY HARBOR
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State | FL
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Zip | 34695-6607
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Country | US
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Telephone | 727-725-6905
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Fax | 727-266-4931
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Authorized Official
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Title or Position | OWNER
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Name | LOVEKESH SHARMA
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Credential | MD
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Telephone | 773-456-5640
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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