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General NPI Number Information
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NPI Number | 1306751466
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Entity Type | Individual
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Provider Name | LUANA PENNINGTON BSN, RN
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Gender | Female
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Dates
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Enumeration Date | 08/14/2026
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Last Update Date | 08/14/2026
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Provider Practice Location Address
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Address Line | 301 W WASHINGTON BLVD
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City | CRESCENT CITY
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State | CA
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Zip | 95531-8340
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Country | US
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Telephone | 707-464-0751
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Fax |
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Provider Business Mailing Address
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Address Line | 5560 LAKE EARL DR
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City | CRESCENT CITY
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State | CA
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Zip | 95531-9740
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Country | US
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Telephone | 707-464-0751
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 619618
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License Number State | CA
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