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General NPI Number Information
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NPI Number | 1154494060
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Entity Type | Organization
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Legal Business Name | LUREY PSYCHOLOGICAL ASSOC
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Dates
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Enumeration Date | 11/16/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 902 N ELM ST
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City | GREENSBORO
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State | NC
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Zip | 27401-1513
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Country | US
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Telephone | 336-373-8947
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Fax | 336-373-8948
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Provider Business Mailing Address
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Address Line | 902 N ELM ST
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City | GREENSBORO
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State | NC
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Zip | 27401-1513
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Country | US
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Telephone | 336-373-8947
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Fax | 336-373-8948
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Authorized Official
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Title or Position | OWNER
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Name | DR. EDWARD LUREY
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Credential | PH D
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Telephone | 336-373-8947
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 0482
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | C000691
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License Number State | NC
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