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General NPI Number Information
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NPI Number | 1528919024
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Entity Type | Individual
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Provider Name | CHELSEA PUGA-LUNA
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Gender | Female
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Dates
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Enumeration Date | 02/09/2026
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Last Update Date | 02/09/2026
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Provider Practice Location Address
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Address Line | 3705 LATROBE DR STE 340
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City | CHARLOTTE
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State | NC
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Zip | 28211-4823
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Country | US
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Telephone | 704-364-3989
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Fax | 704-364-3974
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Provider Business Mailing Address
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Address Line | 11120 COMISKEY LN
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City | CHARLOTTE
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State | NC
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Zip | 28273-3970
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Country | US
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Telephone | 828-612-1187
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | A22580
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License Number State | NC
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