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General NPI Number Information
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NPI Number | 1922974427
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Entity Type | Organization
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Legal Business Name | LUNA REHAB LLC
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Dates
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Enumeration Date | 10/13/2025
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Last Update Date | 10/13/2025
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Provider Practice Location Address
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Address Line | 515 MADISON AVE
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City | ELIZABETH
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State | NJ
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Zip | 07201-1543
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Country | US
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Telephone | 908-943-6135
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Fax |
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Provider Business Mailing Address
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Address Line | 515 MADISON AVE
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City | ELIZABETH
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State | NJ
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Zip | 07201-1543
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Country | US
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Telephone | 908-943-6135
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Fax |
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Authorized Official
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Title or Position | OTR
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Name | VALERIE ANN KERNIZAN
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Credential | OTR
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Telephone | 908-659-8843
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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