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General NPI Number Information
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NPI Number | 1568274900
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Entity Type | Organization
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Legal Business Name | ROBIN LUCAS DMD PA
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Dates
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Enumeration Date | 01/23/2025
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Last Update Date | 01/23/2025
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Provider Practice Location Address
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Address Line | 232 BLOOMFIELD ST
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City | HOBOKEN
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State | NJ
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Zip | 07030-4724
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Country | US
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Telephone | 201-798-8899
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Fax |
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Provider Business Mailing Address
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Address Line | 232 BLOOMFIELD ST
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City | HOBOKEN
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State | NJ
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Zip | 07030-4724
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Country | US
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Telephone | 201-798-8899
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBIN LUCAS
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Credential | DMD
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Telephone | 201-370-8767
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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