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General NPI Number Information
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NPI Number | 1700780061
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Entity Type | Individual
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Provider Name | MR. MATTHIEU ST. CHRISTOPHER LURCH
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Gender | Male
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Dates
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Enumeration Date | 10/07/2026
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Last Update Date | 10/07/2026
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Provider Practice Location Address
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Address Line | 350 7TH ST N
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City | NAPLES
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State | FL
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Zip | 34102-5754
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Country | US
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Telephone | 239-624-3300
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Fax |
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Provider Business Mailing Address
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Address Line | 1211 NE 2ND PL
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City | CAPE CORAL
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State | FL
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Zip | 33909-1106
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | NULL
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 9592188
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License Number State | FL
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