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General NPI Number Information
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NPI Number | 1366322042
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Entity Type | Organization
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Legal Business Name | LUMENCAREMED
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Dates
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Enumeration Date | 09/04/2025
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Last Update Date | 09/04/2025
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Provider Practice Location Address
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Address Line | 45 E MILTON AVE STE 3
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City | RAHWAY
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State | NJ
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Zip | 07065-3352
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Country | US
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Telephone | 732-314-0308
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Fax |
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Provider Business Mailing Address
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Address Line | 45 E MILTON AVE STE 3
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City | RAHWAY
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State | NJ
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Zip | 07065-3352
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Country | US
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Telephone | 732-314-0308
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Fax |
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Authorized Official
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Title or Position | SEC.
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Name | STEPHANIE GREGORY
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Credential |
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Telephone | 732-314-0308
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332U00000X
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Taxonomy Name | Home Delivered Meals
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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