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General NPI Number Information
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NPI Number | 1154431484
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Entity Type | Individual
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Provider Name | CARMELITA LUNA UY M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1040 TIERRA DEL REY SUITE 107
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City | CHULA VISTA
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State | CA
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Zip | 91910-7865
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Country | US
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Telephone | 619-216-8500
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Fax | 619-216-8511
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Provider Business Mailing Address
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Address Line | 1040 TIERRA DEL REY SUITE 107
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City | CHULA VISTA
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State | CA
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Zip | 91910
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Country | US
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Telephone | 619-216-8500
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Fax | 619-216-8511
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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 | 173000000X
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Taxonomy Name | Legal Medicine
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License Number | C50548
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License Number State | CA
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