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General NPI Number Information
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NPI Number | 1043000896
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Entity Type | Individual
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Provider Name | LALITHA SUBRAMANIAN PH.D
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Gender | Female
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Dates
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Enumeration Date | 05/06/2025
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Last Update Date | 05/06/2025
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Provider Practice Location Address
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Address Line | 5900 S LAKE FOREST DR
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City | MCKINNEY
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State | TX
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Zip | 75070-2193
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Country | US
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Telephone | 972-645-3940
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Fax | 972-645-3941
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Provider Business Mailing Address
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Address Line | 11208 GERANIUM DR
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City | FRISCO
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State | TX
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Zip | 75035-0844
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Country | US
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Telephone | 214-430-1156
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 1876978
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 1164271
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | 39449
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | A39840
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License Number State | ZZ
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Taxonomy #5
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 72901
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License Number State | TX
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