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General NPI Number Information
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NPI Number | 1386464345
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Entity Type | Individual
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Provider Name | ALLEN FRANKLIN LAWRENCE II LPC-ASSOCIATE
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Gender | Male
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Dates
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Enumeration Date | 10/15/2024
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Last Update Date | 10/15/2024
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Provider Practice Location Address
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Address Line | 404 W 2ND ST
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City | MT PLEASANT
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State | TX
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Zip | 75455-3841
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Country | US
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Telephone | 903-577-1224
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Fax |
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Provider Business Mailing Address
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Address Line | 312 IH 30 E
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City | MT PLEASANT
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State | TX
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Zip | 75455-0837
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Country | US
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Telephone | 903-466-6872
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 93669
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License Number State | TX
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