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General NPI Number Information
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NPI Number | 1346159548
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Entity Type | Individual
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Provider Name | LUMA JABER DMD
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Gender | Female
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Dates
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Enumeration Date | 09/03/2026
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Last Update Date | 09/03/2026
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Provider Practice Location Address
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Address Line | 3108 PROSPERITY CHURCH RD
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City | CHARLOTTE
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State | NC
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Zip | 28269-8113
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Country | US
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Telephone | 704-352-3037
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Fax |
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Provider Business Mailing Address
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Address Line | 1477 CAROLYN DR
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City | CHARLOTTE
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State | NC
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Zip | 28205-5669
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Country | US
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Telephone | 704-352-3037
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 14917
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License Number State | NC
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