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General NPI Number Information
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NPI Number | 1962073437
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Entity Type | Individual
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Provider Name | STEPHANIE MOORE KNOX LCSW
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Gender | Female
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Dates
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Enumeration Date | 07/06/2021
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Last Update Date | 11/06/2025
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Provider Practice Location Address
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Address Line | 1609 W FRANK AVE
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City | LUFKIN
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State | TX
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Zip | 75904-3103
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Country | US
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Telephone | 936-252-7242
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Fax | 936-272-0550
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Provider Business Mailing Address
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Address Line | PO BOX 150603
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City | LUFKIN
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State | TX
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Zip | 75915-0603
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Country | US
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Telephone | 936-252-7242
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 38535
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License Number State | TX
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