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General NPI Number Information
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NPI Number | 1730136532
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Entity Type | Organization
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Legal Business Name | LUMINIS HEALTH DOCTORS COMMUNITY MEDICAL CENTER, INC.
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Dates
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Enumeration Date | 05/27/2006
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Last Update Date | 05/01/2025
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Provider Practice Location Address
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Address Line | 8118 GOOD LUCK RD
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City | LANHAM
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State | MD
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Zip | 20706-3595
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Country | US
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Telephone | 301-552-0044
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Fax |
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Provider Business Mailing Address
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Address Line | 8118 GOOD LUCK RD
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City | LANHAM
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State | MD
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Zip | 20706-3595
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Country | US
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Telephone | 443-481-4035
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Fax |
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Authorized Official
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Title or Position | DIRECTOR, PATIENT FINANCIAL SERVICE
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Name | JASON VELLEN
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Credential |
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Telephone | 443-481-4035
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 16-022
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License Number State | MD
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