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General NPI Number Information
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NPI Number | 1851409403
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Entity Type | Individual
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Provider Name | PAULA JO LUCAS PAC
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Gender | Female
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Dates
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Enumeration Date | 08/25/2006
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Last Update Date | 12/16/2025
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Provider Practice Location Address
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Address Line | 4100 JOHNSON RD STE 103
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City | STEUBENVILLE
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State | OH
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Zip | 43952-2356
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Country | US
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Telephone | 740-283-2062
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Fax | 740-283-2049
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Provider Business Mailing Address
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Address Line | 380 SUMMIT AVE
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City | STEUBENVILLE
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State | OH
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Zip | 43952-2667
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Country | US
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Telephone | 740-283-7597
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Fax | 740-283-7807
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 50.001925RX
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License Number State | OH
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