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General NPI Number Information
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NPI Number | 1558378877
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Entity Type | Individual
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Provider Name | SACHA LUCAS ARNP
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Gender | Female
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Dates
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Enumeration Date | 08/01/2006
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Last Update Date | 01/12/2011
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Provider Practice Location Address
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Address Line | 12 E 5TH ST
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City | NEWPORT
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State | KY
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Zip | 41071-1618
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Country | US
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Telephone | 859-431-1704
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Fax |
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Provider Business Mailing Address
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Address Line | 130 FORT BEECH DR
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City | SOUTHGATE
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State | KY
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Zip | 41071-2857
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Country | US
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Telephone | 859-491-5354
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 3004932
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License Number State | KY
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