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General NPI Number Information
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NPI Number | 1750689063
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Entity Type | Individual
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Provider Name | LUCAS KEMENI PHARM D
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Gender | Male
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Dates
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Enumeration Date | 03/10/2011
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Last Update Date | 10/25/2018
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Provider Practice Location Address
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Address Line | 3921 POPLAR HILL RD
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City | CHESAPEAKE
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State | VA
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Zip | 23321-5548
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Country | US
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Telephone | 757-320-5141
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Fax | 757-512-7429
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Provider Business Mailing Address
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Address Line | 3921 POPLAR HILL RD
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City | CHESAPEAKE
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State | VA
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Zip | 23321-5548
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Country | US
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Telephone | 757-320-5141
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Fax | 757-320-5141
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PH23655
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 0202012663
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License Number State | VA
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