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General NPI Number Information
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NPI Number | 1689555773
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Entity Type | Organization
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Legal Business Name | LUCENTIA, PLLC
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Dates
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Enumeration Date | 09/08/2025
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 2203 E UNION ST APT 106
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City | SEATTLE
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State | WA
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Zip | 98122-3475
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Country | US
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Telephone | 936-446-7661
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Fax |
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Provider Business Mailing Address
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Address Line | 102 JENNY LN
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City | MONTGOMERY
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State | TX
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Zip | 77356-4416
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Country | US
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Telephone | 936-446-7661
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Fax |
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Authorized Official
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Title or Position | DR.
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Name | BROOKE MONET ANTHONY
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Credential | ND
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Telephone | 936-446-7661
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number |
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License Number State |
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