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NPI 1780510420

NPI 1780510420 : LUCAS WARNOCK RN, EMT-P : MARYSVILLE, CA

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General NPI Number Information
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    NPI Number           |    1780510420
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    Entity Type          |    Individual 
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    Provider Name        |    LUCAS WARNOCK RN, EMT-P
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/22/2026
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    Last Update Date     |    06/22/2026
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Provider Practice Location Address
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    Address Line         |    10441 LOMA RICA RD 
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    City                 |    MARYSVILLE
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    State                |    CA
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    Zip                  |    95901-9476
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    Country              |    US
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    Telephone            |    530-941-1600
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 532 
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    City                 |    BROWNS VALLEY
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    State                |    CA
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    Zip                  |    95918-0532
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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        |    146L00000X
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    Taxonomy Name        |    Paramedic
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    License Number       |    P0282448
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    License Number State |    CA
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