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NPI 1831650498

NPI 1831650498 : JAIME LUNA PPS : OXNARD, CA

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General NPI Number Information
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    NPI Number           |    1831650498
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    Entity Type          |    Individual 
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    Provider Name        |    JAIME LUNA PPS
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    03/27/2019
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    Last Update Date     |    05/09/2025
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Provider Practice Location Address
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    Address Line         |    647 HILL ST 
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    City                 |    OXNARD
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    State                |    CA
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    Zip                  |    93033-3118
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    Country              |    US
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    Telephone            |    805-385-1545
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    109 CALLE VIS 
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    City                 |    CAMARILLO
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    State                |    CA
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    Zip                  |    93010-1711
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    Country              |    US
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    Telephone            |    805-421-8315
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YS0200X
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    Taxonomy Name        |    School Counselor
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    License Number       |    210115940
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    License Number State |    CA
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