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NPI 1497659478

NPI 1497659478 : LUMI PSYCHOLOGICAL SERVICES, PROFESSIONAL CORPORATION : VACAVILLE, CA

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General NPI Number Information
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    NPI Number           |    1497659478
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    Entity Type          |    Organization 
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    Legal Business Name  |    LUMI PSYCHOLOGICAL SERVICES, PROFESSIONAL CORPORATION 
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Dates
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    Enumeration Date     |    10/05/2026
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    Last Update Date     |    10/05/2026
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Provider Practice Location Address
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    Address Line         |    383 CAMELLIA WAY 
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    City                 |    VACAVILLE
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    State                |    CA
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    Zip                  |    95688-4312
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    Country              |    US
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    Telephone            |    510-300-5648
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    383 CAMELLIA WAY 
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    City                 |    VACAVILLE
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    State                |    CA
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    Zip                  |    95688-4312
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    Country              |    US
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    Telephone            |    510-300-5648
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT/CEO
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    Name                 |    DR. FAAFETAI  FAALEAVA 
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    Credential           |    PSY.D.
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    Telephone            |    510-300-5648
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103T00000X
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    Taxonomy Name        |    Psychologist
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    License Number       |    
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    License Number State |    NULL
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