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General NPI Number Information
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NPI Number | 1629698147
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Entity Type | Organization
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Legal Business Name | ARIZONA LUNA CARE PHYSICAL THERAPY, LLC
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Dates
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Enumeration Date | 04/24/2020
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Last Update Date | 02/06/2026
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Provider Practice Location Address
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Address Line | 14050 N 83RD AVE STE 290
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City | PEORIA
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State | AZ
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Zip | 85381-5650
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Country | US
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Telephone | 877-839-6979
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Fax | 833-817-7128
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Provider Business Mailing Address
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Address Line | PO BOX 290609
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City | NASHVILLE
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State | TN
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Zip | 37229-0609
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Country | US
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Telephone | 866-806-3599
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Fax |
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Authorized Official
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Title or Position | PAYER OPERATIONS SUPERVISOR
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Name | JASMINE GONZALEZ
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Credential |
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Telephone | 916-232-3047
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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