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General NPI Number Information
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NPI Number | 1124298088
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Entity Type | Individual
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Provider Name | JEANNE MARIE LUX LMFT
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Gender | Female
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Dates
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Enumeration Date | 03/07/2008
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Last Update Date | 03/07/2008
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Provider Practice Location Address
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Address Line | 2007 CEDAR AVE
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City | MANHATTAN BEACH
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State | CA
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Zip | 90266-2955
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Country | US
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Telephone | 310-940-2329
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Fax |
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Provider Business Mailing Address
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Address Line | 18726 S WESTERN AVE SUITE 408
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City | GARDENA
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State | CA
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Zip | 90248-3813
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Country | US
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Telephone | 310-940-2329
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFC40483
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License Number State | CA
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