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General NPI Number Information
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NPI Number | 1982412524
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Entity Type | Organization
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Legal Business Name | LUNA PRIMARY CARE INC
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Dates
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Enumeration Date | 12/30/2024
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Last Update Date | 10/14/2025
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Provider Practice Location Address
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Address Line | 27 CONGRESS ST UNIT 1502
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City | SALEM
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State | MA
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Zip | 01970-7309
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Country | US
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Telephone | 781-288-5862
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Fax |
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Provider Business Mailing Address
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Address Line | 27 CONGRESS ST UNIT 1502
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City | SALEM
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State | MA
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Zip | 01970-7309
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Country | US
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Telephone | 781-288-5862
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Fax | 781-658-2041
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOSE ARISTIDES AGUILAR
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Credential | FNP-C
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Telephone | 781-288-5862
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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