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General NPI Number Information
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NPI Number | 1659239689
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Entity Type | Individual
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Provider Name | LUCAS MYER RN
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Gender | Male
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Dates
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Enumeration Date | 01/09/2026
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Last Update Date | 01/09/2026
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Provider Practice Location Address
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Address Line | 682 MADISON 6494
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City | HUNTSVILLE
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State | AR
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Zip | 72740-6626
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Country | US
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Telephone | 479-799-7481
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Fax |
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Provider Business Mailing Address
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Address Line | 682 MADISON 6494
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City | HUNTSVILLE
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State | AR
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Zip | 72740-6626
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Country | US
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Telephone | 479-799-7481
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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 | 207PE0004X
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Taxonomy Name | Emergency Medical Services (Emergency Medicine) Physician
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License Number | 124624
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License Number State | AR
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