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NPI 1710617741

NPI 1710617741 : LUNA HOME HEALTH AGENCY INC : MIAMI, FL

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General NPI Number Information
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    NPI Number           |    1710617741
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    Entity Type          |    Organization 
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    Legal Business Name  |    LUNA HOME HEALTH AGENCY INC 
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Dates
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    Enumeration Date     |    06/13/2022
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    Last Update Date     |    01/27/2026
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Provider Practice Location Address
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    Address Line         |    7700 N KENDALL DR STE 403B 
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    City                 |    MIAMI
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    State                |    FL
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    Zip                  |    33156-7565
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    Country              |    US
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    Telephone            |    305-803-1974
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    Fax                  |    786-923-0975
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Provider Business Mailing Address
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    Address Line         |    7700 N KENDALL DR STE 403B 
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    City                 |    PINECREST
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    State                |    FL
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    Zip                  |    33156-7565
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    Country              |    US
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    Telephone            |    305-803-1974
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    Fax                  |    305-489-7662
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Authorized Official
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    Title or Position    |    ADMINISTRATOR
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    Name                 |     NATASHA  MAYA 
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    Credential           |    
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    Telephone            |    305-803-1974
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103K00000X
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    Taxonomy Name        |    Behavior Analyst
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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        |    251E00000X
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    Taxonomy Name        |    Home Health Agency
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    License Number       |    
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    License Number State |    
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