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General NPI Number Information
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NPI Number | 1720120165
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Entity Type | Individual
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Provider Name | VICKI JUNCK L.P.C.
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Gender | Female
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 17000 EL CAMINO REAL STE.105E
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City | HOUSTON
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State | TX
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Zip | 77058-2636
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Country | US
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Telephone | 281-480-3683
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Fax | 281-286-0776
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Provider Business Mailing Address
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Address Line | 15711 BOUGAINVILLA LN
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City | FRIENDSWOOD
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State | TX
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Zip | 77546-2913
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Country | US
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Telephone | 281-480-3683
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Fax | 281-596-4548
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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 | 14151
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License Number State | TX
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