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General NPI Number Information
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NPI Number | 1144734468
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Entity Type | Individual
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Provider Name | ESTEFANIA LUNA PSYD
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Gender | Female
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Dates
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Enumeration Date | 11/22/2017
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Last Update Date | 04/12/2025
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Provider Practice Location Address
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Address Line | 4743 SMICK ST
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City | PHILADELPHIA
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State | PA
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Zip | 19127-1909
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Country | US
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Telephone | 954-305-2897
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Fax |
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Provider Business Mailing Address
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Address Line | 4480 SW 122ND TER
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City | DAVIE
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State | FL
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Zip | 33330-3122
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Country | US
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Telephone | 954-305-2897
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY.0006285
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PS020366
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License Number State | PA
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