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General NPI Number Information
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NPI Number | 1699931311
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Entity Type | Individual
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Provider Name | BASIL P LUCAS LMSW
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Gender | Male
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Dates
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Enumeration Date | 08/01/2008
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Last Update Date | 06/08/2010
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Provider Practice Location Address
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Address Line | 233 NOSTRAND AVE
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City | BROOKLYN
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State | NY
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Zip | 11205-4924
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Country | US
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Telephone | 718-564-2062
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Fax | 718-564-2032
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Provider Business Mailing Address
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Address Line | 77 N 22ND ST #1
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City | EAST ORANGE
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State | NJ
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Zip | 07017-4901
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Country | US
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Telephone | 201-207-1165
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 081315-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 081315-1
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 103TA0700X
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Taxonomy Name | Adult Development & Aging Psychologist
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License Number | 081315-1
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number | 081315-1
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License Number State | NY
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Taxonomy #5
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 081315-1
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License Number State | NY
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Taxonomy #6
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 081315-1
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License Number State | NY
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