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General NPI Number Information
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NPI Number | 1992200158
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Entity Type | Organization
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Legal Business Name | JAMES LUCIO MD, PA
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Dates
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Enumeration Date | 03/28/2018
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Last Update Date | 04/19/2018
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Provider Practice Location Address
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Address Line | 12627 BUTLER BAY CT
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City | WINDERMERE
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State | FL
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Zip | 34786-6102
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Country | US
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Telephone | 407-489-8501
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Fax |
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Provider Business Mailing Address
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Address Line | 2582 MAGUIRE RD # 187
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City | OCOEE
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State | FL
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Zip | 34761-4749
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Country | US
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Telephone | 407-489-8501
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JAMES LUCIO
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Credential | MD
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Telephone | 407-902-6252
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State |
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