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General NPI Number Information
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NPI Number | 1356649735
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Entity Type | Individual
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Provider Name | SANJUANITA DE LUNA LMSW-IPR
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Gender | Female
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Dates
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Enumeration Date | 03/08/2011
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Last Update Date | 01/17/2024
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Provider Practice Location Address
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Address Line | 6510 POLARIS DR SUITE 2, UNIT 10
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City | LAREDO
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State | TX
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Zip | 78041-2053
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Country | US
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Telephone | 956-284-0079
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Fax |
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Provider Business Mailing Address
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Address Line | 8642 PUERTO ESCONDIDO
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City | LAREDO
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State | TX
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Zip | 78045-6204
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Country | US
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Telephone | 956-220-8037
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number | 19571
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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