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General NPI Number Information
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NPI Number | 1801708540
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Entity Type | Organization
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Legal Business Name | LUMINOSAS WELLNESS COLLECTIVE CORPORATION
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Dates
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Enumeration Date | 09/18/2026
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Last Update Date | 09/18/2026
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Provider Practice Location Address
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Address Line | 680 BROADWAY STE B-1
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City | PATERSON
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State | NJ
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Zip | 07514-1524
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Country | US
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Telephone | 732-718-3893
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Fax |
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Provider Business Mailing Address
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Address Line | 1971 LONG TER
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City | UNION
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State | NJ
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Zip | 07083-5406
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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 | CO-EXECUTIVE DIRECTOR
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Name | CATHERINE OBANDO
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Credential | MSN, NP-C
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Telephone | 732-718-3893
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number |
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License Number State |
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