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General NPI Number Information
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NPI Number | 1164735783
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Entity Type | Individual
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Provider Name | LUTICIA STOKER SIGNET LPC, NCC, PHD CAND
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Gender | Female
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Dates
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Enumeration Date | 07/24/2010
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Last Update Date | 07/24/2010
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Provider Practice Location Address
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Address Line | 118 WISTERIA LN
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City | MOORESVILLE
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State | NC
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Zip | 28117-6695
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Country | US
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Telephone | 704-577-0006
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Fax |
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Provider Business Mailing Address
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Address Line | 709 NORTHEAST DR SUITE 22
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City | DAVIDSON
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State | NC
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Zip | 28036-7430
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Country | US
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Telephone | 704-577-0006
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 7978
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 7978
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License Number State | NC
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