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General NPI Number Information
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NPI Number | 1790957686
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Entity Type | Individual
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Provider Name | LUCAS NADEN L.AC, M.AC, DIPL.AC
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Gender | Male
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Dates
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Enumeration Date | 03/31/2008
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Last Update Date | 02/27/2012
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Provider Practice Location Address
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Address Line | 8131 GOV RITCHIE HWY SUITE K
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City | PASADENA
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State | MD
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Zip | 21122-6940
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Country | US
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Telephone | 410-218-1162
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Fax |
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Provider Business Mailing Address
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Address Line | 7856 FOXFARM LN
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City | GLEN BURNIE
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State | MD
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Zip | 21061-6323
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | U01645
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License Number State | MD
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