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General NPI Number Information
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NPI Number | 1518077619
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Entity Type | Individual
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Provider Name | JULIE SYMONS LUKE LCSW LPC
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Gender | Female
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 04/15/2019
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Provider Practice Location Address
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Address Line | 5825 PHELAN BLVD STE 101
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City | BEAUMONT
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State | TX
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Zip | 77706
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Country | US
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Telephone | 409-860-0001
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Fax | 409-860-0010
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Provider Business Mailing Address
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Address Line | 5825 PHELAN BLVD STE 101
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City | BEAUMONT
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State | TX
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Zip | 77706-6200
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Country | US
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Telephone | 409-860-0001
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Fax | 409-860-0010
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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 | 14580
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 10335LPC
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 14580LCSW
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License Number State | TX
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