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General NPI Number Information
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NPI Number | 1891846804
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Entity Type | Individual
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Provider Name | CHAD ROBERT LUCE D.C.
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Gender | Male
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 01/19/2017
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Provider Practice Location Address
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Address Line | 7051 CYPRESS TER SUITE 106
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City | FORT MYERS
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State | FL
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Zip | 33907-8822
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Country | US
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Telephone | 239-887-3066
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Fax | 239-887-3074
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Provider Business Mailing Address
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Address Line | 7051 CYPRESS TER SUITE 106
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City | FORT MYERS
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State | FL
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Zip | 33907-8822
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Country | US
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Telephone | 239-887-3066
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Fax | 239-887-3074
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH8917
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License Number State | FL
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