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General NPI Number Information
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NPI Number | 1871429019
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Entity Type | Organization
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Legal Business Name | LUMORA MINDFULNESS & CONSULTING PLL C
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Dates
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Enumeration Date | 06/23/2026
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Last Update Date | 06/23/2026
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Provider Practice Location Address
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Address Line | 780 N CECIL RD STE 202
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City | POST FALLS
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State | ID
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Zip | 83854-8966
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Country | US
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Telephone | 208-216-3351
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Fax |
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Provider Business Mailing Address
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Address Line | 9169 W STATE ST STE 3125
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City | GARDEN CITY
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State | ID
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Zip | 83714-1733
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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 | AUTHORIZED ADMIN
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Name | LISA CALDER
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Credential |
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Telephone | 208-216-3351
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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 |
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