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General NPI Number Information
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NPI Number | 1497633218
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Entity Type | Organization
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Legal Business Name | LUMIRA PEDIATRICS, PLLC
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Dates
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Enumeration Date | 08/21/2025
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | 1601 E LAMAR BLVD STE 214
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City | ARLINGTON
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State | TX
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Zip | 76011-4464
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Country | US
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Telephone | 817-203-4143
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Fax |
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Provider Business Mailing Address
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Address Line | 1601 E LAMAR BLVD STE 214
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City | ARLINGTON
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State | TX
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Zip | 76011-4464
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Country | US
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Telephone | 817-846-4908
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Fax |
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Authorized Official
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Title or Position | BCBA
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Name | CRYSTAL FERNANDEZ
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Credential |
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Telephone | 817-203-4143
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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