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General NPI Number Information
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NPI Number | 1497553598
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Entity Type | Organization
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Legal Business Name | LUMINI ADVANTAGE INC.
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Dates
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Enumeration Date | 03/04/2025
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Last Update Date | 03/04/2025
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Provider Practice Location Address
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Address Line | 2301 INDIAN WELLS RD STE B
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City | ALAMOGORDO
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State | NM
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Zip | 88310-4611
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Country | US
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Telephone | 575-437-0890
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Fax |
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Provider Business Mailing Address
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Address Line | 432 PANHANDLE CT
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City | ALAMOGORDO
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State | NM
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Zip | 88310-8518
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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 | DIRECTOR
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Name | CARLOS PLUTARCO SANCHEZ
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Credential | CRNA
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Telephone | 347-381-9909
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number |
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License Number State |
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