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General NPI Number Information
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NPI Number | 1629475397
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Entity Type | Individual
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Provider Name | LUKE LESTER F.N.P
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Gender | Male
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Dates
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Enumeration Date | 11/24/2014
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Last Update Date | 07/26/2023
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Provider Practice Location Address
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Address Line | 1729 KINNEYS LN STE 102
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City | PORTSMOUTH
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State | OH
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Zip | 45662-3166
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Country | US
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Telephone | 740-351-0980
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Fax | 740-351-0021
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Provider Business Mailing Address
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Address Line | 1729 KINNEYS LN STE 102
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City | PORTSMOUTH
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State | OH
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Zip | 45662-3166
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Country | US
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Telephone | 740-351-0980
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Fax | 740-351-0021
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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 | 16663
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 3012834
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License Number State | KY
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