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General NPI Number Information
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NPI Number | 1316861016
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Entity Type | Organization
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Legal Business Name | LUMEN HEALTH AND WELLNESS, LLC
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Dates
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Enumeration Date | 08/05/2026
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Last Update Date | 08/05/2026
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Provider Practice Location Address
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Address Line | 2931 7TH AVE
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City | MARION
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State | IA
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Zip | 52302-3734
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Country | US
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Telephone | 319-380-2580
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Fax |
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Provider Business Mailing Address
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Address Line | 2110 LINCOLNSHIRE DR SE
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City | CEDAR RAPIDS
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State | IA
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Zip | 52403-1607
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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 | NURSE PRACTITIONER, OWNER
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Name | EMILY FREEMAN
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Credential |
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Telephone | 319-380-2579
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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