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General NPI Number Information
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NPI Number | 1083769202
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Entity Type | Organization
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Legal Business Name | LUNA MEDICAL, INC.
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Dates
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Enumeration Date | 01/25/2007
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Last Update Date | 02/11/2025
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Provider Practice Location Address
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Address Line | 4397 N ELSTON AVE
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City | CHICAGO
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State | IL
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Zip | 60641-2147
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Country | US
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Telephone | 800-380-4339
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Fax | 888-696-0299
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Provider Business Mailing Address
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Address Line | 4397 N ELSTON AVE
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City | CHICAGO
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State | IL
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Zip | 60641-2147
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Country | US
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Telephone | 800-380-4339
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Fax | 888-696-0299
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Authorized Official
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Title or Position | FOUNDER
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Name | MARIANNE HELEN LUH
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Credential |
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Telephone | 800-380-4339
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number | 203000472
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 203000472
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License Number State | IL
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