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General NPI Number Information
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NPI Number | 1588073274
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Entity Type | Individual
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Provider Name | INNA ANATOLY LUKYANOV
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Gender | Female
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Dates
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Enumeration Date | 08/06/2014
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Last Update Date | 07/07/2025
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Provider Practice Location Address
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Address Line | 2550 FLORAL AVE STE 30
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City | CHICO
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State | CA
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Zip | 95973-9369
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Country | US
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Telephone | 530-877-1965
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Fax | 530-894-5791
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Provider Business Mailing Address
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Address Line | 2550 FLORAL AVE STE 30
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City | CHICO
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State | CA
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Zip | 95973-9369
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Country | US
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Telephone | 352-474-0678
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 155522
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License Number State | CA
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