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General NPI Number Information
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NPI Number | 1407090020
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Entity Type | Individual
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Provider Name | ANGELA P GREEN MS, LPC
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Gender | Female
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Dates
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Enumeration Date | 04/27/2009
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Last Update Date | 06/17/2025
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Provider Practice Location Address
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Address Line | 14205 N. MO PAC EXPY STE 570 PMB 352862
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City | AUSTIN
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State | TX
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Zip | 78728-6529
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Country | US
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Telephone | 469-502-5770
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Fax |
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Provider Business Mailing Address
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Address Line | 4225 OFFICE PKWY
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City | DALLAS
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State | TX
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Zip | 75204-3628
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Country | US
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Telephone | 214-808-3061
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 83886
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License Number State | TX
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