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General NPI Number Information
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NPI Number | 1861598799
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Entity Type | Individual
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Provider Name | BETH MARIE LUCCI PT
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Gender | Female
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Dates
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Enumeration Date | 09/16/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 875 RETREAT DR
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City | NAPLES
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State | FL
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Zip | 34110-7927
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Country | US
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Telephone | 239-594-0877
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Fax |
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Provider Business Mailing Address
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Address Line | 2873 OAKBROOK DR
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City | WESTON
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State | FL
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Zip | 33332-3415
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Country | US
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Telephone | 954-989-7002
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT16899
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License Number State | FL
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