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General NPI Number Information
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NPI Number | 1235502972
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Entity Type | Individual
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Provider Name | GINA LYN LANE AALUND LCSW, PLLC
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Gender | Female
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Dates
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Enumeration Date | 11/03/2015
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Last Update Date | 04/06/2016
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Provider Practice Location Address
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Address Line | 2150 LAKESIDE BLVD 225E
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City | RICHARDSON
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State | TX
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Zip | 75082-4302
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Country | US
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Telephone | 972-907-5233
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Fax | 972-907-5231
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Provider Business Mailing Address
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Address Line | 2140 E SOUTHLAKE BLVD SUITE L-658
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City | SOUTHLAKE
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State | TX
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Zip | 76092-6516
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Country | US
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Telephone | 972-907-5233
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Fax | 972-907-5231
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 26459
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License Number State | TX
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