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General NPI Number Information
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NPI Number | 1114110459
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Entity Type | Organization
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Legal Business Name | PAMELA E. MONK, PH.D., P.L.L.C.
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Dates
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Enumeration Date | 08/21/2007
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Last Update Date | 08/21/2007
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Provider Practice Location Address
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Address Line | 3050 LIBERTY ST
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City | BEAUMONT
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State | TX
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Zip | 77702-1801
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Country | US
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Telephone | 409-839-5673
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Fax |
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Provider Business Mailing Address
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Address Line | 1183 COUNTY ROAD 1520
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City | WARREN
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State | TX
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Zip | 77664-6479
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Country | US
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Telephone | 409-547-2527
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Fax |
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Authorized Official
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Title or Position | COUNSELOR
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Name | DR. PAMELA E. MONK
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Credential | PH.D., L.P.C.-S.
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Telephone | 409-547-2527
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 13,515
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License Number State | TX
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