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General NPI Number Information
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NPI Number | 1932411279
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Entity Type | Individual
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Provider Name | STEPHANIE EDWINA SKINNER-LUCAS REGISTERED DIETITIAN
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Gender | Female
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Dates
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Enumeration Date | 07/01/2010
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Last Update Date | 04/22/2025
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Provider Practice Location Address
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Address Line | 1014 VINE ST
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City | CINCINNATI
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State | OH
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Zip | 45202-1141
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Country | US
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Telephone | 855-699-6937
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 830242
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City | PHILADELPHIA
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State | PA
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Zip | 19182-0242
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | LD003175
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 10945
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 247514
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License Number State | KY
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Taxonomy #4
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | L003071
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License Number State | NC
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Taxonomy #5
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 701
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License Number State | WV
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Taxonomy #6
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 002360
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License Number State | CT
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Taxonomy #7
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 0000002420
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License Number State | TN
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