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General NPI Number Information
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NPI Number | 1306779855
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Entity Type | Organization
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Legal Business Name | LUMOS PSYCHIATRY LLC
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Dates
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Enumeration Date | 06/04/2026
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Last Update Date | 06/04/2026
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Provider Practice Location Address
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Address Line | 1166 E WARNER RD STE 113
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City | GILBERT
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State | AZ
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Zip | 85296-3065
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Country | US
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Telephone | 480-277-2231
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Fax | 480-378-3537
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Provider Business Mailing Address
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Address Line | 1166 E WARNER RD STE 113
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City | GILBERT
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State | AZ
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Zip | 85296-3065
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Country | US
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Telephone | 480-277-2231
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Fax | 480-378-3537
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | ELISA CSADER
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Credential | MN
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Telephone | 480-277-2231
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 364SP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Clinical Nurse Specialist
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License Number |
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License Number State |
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