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General NPI Number Information
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NPI Number | 1952286288
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Entity Type | Individual
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Provider Name | BELLA LUNA CLC
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Gender | Female
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Dates
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Enumeration Date | 08/06/2025
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Last Update Date | 02/05/2026
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Provider Practice Location Address
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Address Line | 8500 DYER ST STE 34
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City | EL PASO
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State | TX
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Zip | 79904-2800
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Country | US
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Telephone | 915-216-3644
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Fax |
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Provider Business Mailing Address
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Address Line | 3616 MOONLIGHT AVE
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City | EL PASO
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State | TX
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Zip | 79904-1113
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Country | US
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Telephone | 915-216-3644
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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 | 174N00000X
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Taxonomy Name | Lactation Consultant (Non-RN)
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License Number |
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 374J00000X
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Taxonomy Name | Doula
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License Number | 364756
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License Number State | NM
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