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General NPI Number Information
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NPI Number | 1689984551
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Entity Type | Individual
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Provider Name | MARC ANDREW LUCENTE DC
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Gender | Male
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Dates
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Enumeration Date | 10/13/2010
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Last Update Date | 04/07/2025
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Provider Practice Location Address
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Address Line | 6608 NASSER LN
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City | PORT ORANGE
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State | FL
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Zip | 32128-6008
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Country | US
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Telephone | 407-706-9556
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Fax |
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Provider Business Mailing Address
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Address Line | 6608 NASSER LN
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City | PORT ORANGE
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State | FL
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Zip | 32128-6008
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Country | US
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Telephone |
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 001860
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 111NX0800X
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Taxonomy Name | Orthopedic Chiropractor
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License Number | CH10329
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License Number State | FL
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