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General NPI Number Information
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NPI Number | 1730907056
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Entity Type | Individual
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Provider Name | LUCAS HENDRICK PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 09/26/2024
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Last Update Date | 09/26/2024
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Provider Practice Location Address
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Address Line | 5352 LINTON BLVD
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City | DELRAY BEACH
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State | FL
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Zip | 33484-6514
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Country | US
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Telephone | 561-498-4440
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Fax |
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Provider Business Mailing Address
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Address Line | 1200 TOWN CENTER DR APT 501
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City | JUPITER
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State | FL
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Zip | 33458-5259
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Country | US
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Telephone | 561-401-2118
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 41719
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License Number State | FL
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