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General NPI Number Information
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NPI Number | 1124962147
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Entity Type | Organization
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Legal Business Name | LUMINANCE MEDICAL AND WELLNESS SPA
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Dates
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Enumeration Date | 04/18/2026
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Last Update Date | 04/18/2026
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Provider Practice Location Address
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Address Line | 202 CHELTENHAM DR
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City | AIKEN
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State | SC
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Zip | 29803-6681
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Country | US
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Telephone | 803-843-8600
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Fax |
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Provider Business Mailing Address
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Address Line | 202 CHELTENHAM DR
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City | AIKEN
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State | SC
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Zip | 29803-6681
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Country | US
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Telephone | 803-843-8600
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Fax |
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Authorized Official
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Title or Position | FAMILY NURSE PRACTITIONER
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Name | MRS. ERIKA NICOLE AGUILAR
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Credential | DNP, FNP-C
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Telephone | 803-843-8600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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