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General NPI Number Information
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NPI Number | 1790689073
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Entity Type | Organization
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Legal Business Name | LUNARA WOMENS HEALTH
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Dates
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Enumeration Date | 10/07/2026
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Last Update Date | 10/07/2026
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Provider Practice Location Address
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Address Line | 3651 N 100 E STE 375
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City | PROVO
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State | UT
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Zip | 84604-4511
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Country | US
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Telephone | 385-204-5241
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Fax |
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Provider Business Mailing Address
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Address Line | 3651 N 100 E STE 375
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City | PROVO
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State | UT
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Zip | 84604-4511
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MIRANDA WEST
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Credential | LCSW
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Telephone | 801-645-1236
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State | NULL
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