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General NPI Number Information
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NPI Number | 1174328827
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Entity Type | Organization
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Legal Business Name | LUMINA PSYCHIATRY, PLLC
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Dates
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Enumeration Date | 02/17/2025
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Last Update Date | 04/08/2025
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Provider Practice Location Address
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Address Line | 240 ELM ST FL 2
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City | SOMERVILLE
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State | MA
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Zip | 02144-2935
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Country | US
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Telephone | 857-380-6833
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Fax | 857-344-0170
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Provider Business Mailing Address
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Address Line | 240 ELM ST FL 2
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City | SOMERVILLE
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State | MA
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Zip | 02144-2935
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Country | US
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Telephone | 857-380-6833
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Fax | 857-344-0170
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Authorized Official
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Title or Position | CO-OWNER
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Name | ALICIA KATHERINE BATTLES
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Credential | PMHNP
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Telephone | 857-380-6833
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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