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General NPI Number Information
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NPI Number | 1003861956
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Entity Type | Individual
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Provider Name | DOROTHY CHRISTIN LUKE MSW, LCSW
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Gender | Female
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Dates
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Enumeration Date | 05/22/2006
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Last Update Date | 09/04/2007
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Provider Practice Location Address
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Address Line | 2132 MCCLINTOCK RD
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City | CHARLOTTE
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State | NC
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Zip | 28205-5114
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Country | US
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Telephone | 704-576-3635
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Fax |
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Provider Business Mailing Address
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Address Line | 809 TADLOCK PL
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City | MATTHEWS
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State | NC
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Zip | 28105-5523
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Country | US
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Telephone | 704-576-3635
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Fax | 704-377-4147
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | C004450
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License Number State | NC
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