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General NPI Number Information
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NPI Number | 1710477120
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Entity Type | Individual
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Provider Name | CHRISTINA DEANNE DUKES LPC, NCC
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Gender | Female
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Dates
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Enumeration Date | 05/11/2018
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Last Update Date | 05/11/2018
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Provider Practice Location Address
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Address Line | 25 W BROAD ST STE 10
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City | COOKEVILLE
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State | TN
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Zip | 38501-2584
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Country | US
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Telephone | 931-303-2778
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Fax |
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Provider Business Mailing Address
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Address Line | 998 RIVER BEND DR
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City | COOKEVILLE
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State | TN
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Zip | 38506-5972
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Country | US
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Telephone | 931-450-4643
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 4082
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License Number State | TN
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