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General NPI Number Information
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NPI Number | 1447623244
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Entity Type | Individual
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Provider Name | IRMA LUGO-KINN LPC
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Gender | Female
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Dates
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Enumeration Date | 11/03/2015
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Last Update Date | 04/26/2023
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Provider Practice Location Address
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Address Line | 14138 HWY 195
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City | KILLEEN
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State | TX
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Zip | 76542-4850
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Country | US
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Telephone | 254-519-1144
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Fax |
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Provider Business Mailing Address
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Address Line | 1807 BOWEN AVE
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City | COPPERAS COVE
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State | TX
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Zip | 76522-4459
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Country | US
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Telephone | 512-553-1186
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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 | 101YS0200X
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Taxonomy Name | School Counselor
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License Number |
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 74391
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 74391
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License Number State | TX
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