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General NPI Number Information
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NPI Number | 1063321073
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Entity Type | Organization
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Legal Business Name | LUMICERA HEALTH SERVICES LLC
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Dates
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Enumeration Date | 09/04/2026
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Last Update Date | 09/04/2026
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Provider Practice Location Address
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Address Line | 20501 SENECA MEADOWS PKWY STE 120
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City | GERMANTOWN
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State | MD
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Zip | 20876-7017
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Country | US
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Telephone | 877-885-1101
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Fax |
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Provider Business Mailing Address
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Address Line | 20501 SENECA MEADOWS PKWY STE 120
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City | GERMANTOWN
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State | MD
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Zip | 20876-7017
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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 | CHIEF PHARMACY OFFICER
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Name | SHARON FAUST
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Credential |
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Telephone | 608-310-1811
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336M0002X
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Taxonomy Name | Mail Order Pharmacy
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License Number |
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License Number State |
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