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General NPI Number Information
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NPI Number | 1881884690
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Entity Type | Individual
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Provider Name | LOUISA LURKIS PH.D.
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Gender | Female
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Dates
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Enumeration Date | 07/27/2007
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Last Update Date | 07/27/2007
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Provider Practice Location Address
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Address Line | 5625 COLLEGE AVE SUITE 211
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City | OAKLAND
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State | CA
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Zip | 94618-1585
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Country | US
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Telephone | 510-393-1581
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Fax | 510-652-1965
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Provider Business Mailing Address
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Address Line | 5507 COLLEGE AVE APT 11
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City | OAKLAND
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State | CA
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Zip | 94618-1516
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Country | US
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Telephone | 510-393-1581
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Fax | 510-652-1965
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY20065
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License Number State | CA
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