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General NPI Number Information
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NPI Number | 1770443632
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Entity Type | Organization
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Legal Business Name | LUMINA CARE MEDICAL GROUP PA
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Dates
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Enumeration Date | 11/13/2025
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Last Update Date | 02/03/2026
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Provider Practice Location Address
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Address Line | 885 3RD AVE FL 28
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City | NEW YORK
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State | NY
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Zip | 10022-4834
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Country | US
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Telephone | 305-771-4986
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Fax |
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Provider Business Mailing Address
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Address Line | 885 3RD AVE FL 28
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City | NEW YORK
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State | NY
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Zip | 10022-4834
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Country | US
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Telephone | 929-650-3990
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DANIEL G FUNSCH JR.
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Credential | MD
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Telephone | 929-650-3990
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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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 | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2084B0040X
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Taxonomy Name | Behavioral Neurology & Neuropsychiatry Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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