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General NPI Number Information
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NPI Number | 1780347021
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Entity Type | Individual
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Provider Name | BRANDY LUCAS FNP-C
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Gender | Female
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Dates
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Enumeration Date | 10/13/2021
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Last Update Date | 12/11/2024
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Provider Practice Location Address
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Address Line | 694 GRAND VISTA DR
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City | SYLVA
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State | NC
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Zip | 28779-7093
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Country | US
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Telephone | 828-577-7237
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 558
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City | WEBSTER
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State | NC
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Zip | 28788-0558
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Country | US
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Telephone | 828-577-7237
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | ANDE-XP9FD
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License Number State | NC
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