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General NPI Number Information
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NPI Number | 1255220224
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Entity Type | Organization
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Legal Business Name | LUNARIS HEALTH PLLC
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Dates
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Enumeration Date | 07/02/2025
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 17212 N SCOTTSDALE RD
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City | SCOTTSDALE
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State | AZ
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Zip | 85255-9615
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Country | US
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Telephone | 708-427-8700
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Fax |
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Provider Business Mailing Address
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Address Line | 830 CARPENTER AVE
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City | OAK PARK
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State | IL
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Zip | 60304-1109
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Country | US
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Telephone | 708-427-8700
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Fax |
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Authorized Official
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Title or Position | OWNER / NURSE PRACTITIONER
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Name | MELTEM RANDLE
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Credential | AGACNP-BC
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Telephone | 708-427-8700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number |
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License Number State |
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