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General NPI Number Information
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NPI Number | 1639943061
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Entity Type | Individual
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Provider Name | SAMUEL THOMAS LUNA PHARMD
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Gender | Male
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Dates
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Enumeration Date | 11/07/2023
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Last Update Date | 11/07/2023
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Provider Practice Location Address
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Address Line | 12190 UNIVERSITY CITY BLVD
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City | HARRISBURG
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State | NC
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Zip | 28075-7406
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Country | US
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Telephone | 704-454-9909
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Fax | 704-454-9914
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Provider Business Mailing Address
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Address Line | 5400 MACROOM CT
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City | MATTHEWS
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State | NC
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Zip | 28104-0600
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Country | US
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Telephone | 704-614-1052
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 44121
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 32515
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License Number State | NC
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