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General NPI Number Information
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NPI Number | 1407692189
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Entity Type | Individual
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Provider Name | SHAZIA KHAN LPC-ASSOCIATE
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Gender | Female
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Dates
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Enumeration Date | 07/02/2024
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Last Update Date | 07/02/2024
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Provider Practice Location Address
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Address Line | 633 E FERNHURST DR STE 1102
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City | KATY
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State | TX
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Zip | 77450-1592
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Country | US
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Telephone | 281-940-8515
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Fax |
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Provider Business Mailing Address
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Address Line | 9330 STRAWBERRY CACTUS LOOP
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City | HOUSTON
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State | TX
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Zip | 77064-4619
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Country | US
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Telephone | 713-409-0403
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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 | 101Y00000X
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Taxonomy Name | Counselor
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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 |
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License Number State |
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Taxonomy #3
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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 #4
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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