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General NPI Number Information
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NPI Number | 1043907629
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Entity Type | Individual
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Provider Name | BARBARA A LALUZ CRPA
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Gender | Female
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Dates
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Enumeration Date | 04/24/2023
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Last Update Date | 06/17/2023
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Provider Practice Location Address
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Address Line | 1450 CLAY AVE APT 4M
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City | BRONX
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State | NY
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Zip | 10456-1777
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Country | US
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Telephone | 917-553-6646
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Fax |
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Provider Business Mailing Address
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Address Line | 1450 CLAY AVE APT 4M
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City | BRONX
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State | NY
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Zip | 10456-1777
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Country | US
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Telephone | 917-553-6646
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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 | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number | BQIHZ9JEXM
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number | 5638
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License Number State | NY
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