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General NPI Number Information
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NPI Number | 1295656668
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Entity Type | Organization
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Legal Business Name | LUMERA PSYCHOLOGICAL & WELLNESS CENTER LLC
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Dates
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Enumeration Date | 07/22/2026
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Last Update Date | 07/22/2026
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Provider Practice Location Address
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Address Line | CARR 2 R 638 KM 5.3 INT BO MIRAFLORES SCT PALACHE
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City | ARECIBO
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State | PR
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Zip | 00616-0000
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Country | US
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Telephone | 787-428-7744
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Fax |
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Provider Business Mailing Address
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Address Line | HC 2 BOX 5610
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City | BAJADERO
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State | PR
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Zip | 00616-9789
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENTA
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Name | CARMEN G GONZALEZ
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Credential |
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Telephone | 787-428-7744
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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