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General NPI Number Information
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NPI Number | 1194809475
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Entity Type | Individual
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Provider Name | KRISTEN ELIZABETH ALLEN LCSW
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Gender | Female
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Dates
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Enumeration Date | 10/24/2006
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Last Update Date | 07/15/2010
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Provider Practice Location Address
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Address Line | 4950 MEMORIAL DR
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City | HOUSTON
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State | TX
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Zip | 77007-7440
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Country | US
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Telephone | 713-730-2335
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Fax |
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Provider Business Mailing Address
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Address Line | 30 PRAIRIE OAK DR
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City | CONROE
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State | TX
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Zip | 77385-3753
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Country | US
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Telephone | 530-400-9347
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 53696
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License Number State | TX
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