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General NPI Number Information
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NPI Number | 1598862328
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Entity Type | Individual
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Provider Name | KUN-HONG LU LISW
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Gender | Female
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 12/22/2010
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Provider Practice Location Address
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Address Line | 827 HIGH ST
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City | GRINNELL
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State | IA
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Zip | 50112-2132
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Country | US
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Telephone | 641-236-8811
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Fax | 641-236-8818
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Provider Business Mailing Address
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Address Line | PO BOX 596
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City | GRINNELL
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State | IA
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Zip | 50112-0596
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Country | US
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Telephone | 641-236-8811
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Fax | 641-236-8818
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 21077
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 06769
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License Number State | IA
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