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General NPI Number Information
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NPI Number | 1821154246
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Entity Type | Individual
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Provider Name | MAUREEN JOAN LUMLEY PH.D., L.M. F.T.
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Gender | Female
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Dates
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Enumeration Date | 12/29/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 1207 S WHITE CHAPEL BLVD SUITE 140
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City | SOUTHLAKE
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State | TX
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Zip | 76092-9314
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Country | US
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Telephone | 214-755-4107
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Fax | 817-416-1047
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Provider Business Mailing Address
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Address Line | 607 SHADY BROOK CT
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City | SOUTHLAKE
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State | TX
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Zip | 76092-7212
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Country | US
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Telephone | 214-755-4107
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Fax | 817-416-1047
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State | TX
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