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General NPI Number Information
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NPI Number | 1447087101
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Entity Type | Individual
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Provider Name | NAYELEE LUA
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Gender | Female
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Dates
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Enumeration Date | 09/17/2024
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 300 E 15TH ST
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City | MERCED
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State | CA
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Zip | 95341-6217
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Country | US
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Telephone | 209-381-6880
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Fax |
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Provider Business Mailing Address
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Address Line | 301 E 13TH ST
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City | MERCED
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State | CA
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Zip | 95341-6211
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Country | US
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Telephone | 209-381-6800
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | ASW134429
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License Number State | CA
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