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General NPI Number Information
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NPI Number | 1427461300
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Entity Type | Individual
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Provider Name | KRISTEN CLINE BELLONI PH.D., LP, LSSP
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Gender | Female
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Dates
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Enumeration Date | 06/09/2014
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Last Update Date | 03/10/2021
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Provider Practice Location Address
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Address Line | 8668 JOHN HICKMAN PKWY STE 804
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City | FRISCO
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State | TX
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Zip | 75034-9386
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Country | US
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Telephone | 469-664-0070
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Fax | 469-200-8070
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Provider Business Mailing Address
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Address Line | 8668 JOHN HICKMAN PKWY STE 804
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City | FRISCO
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State | TX
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Zip | 75034-9386
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Country | US
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Telephone | 469-664-0070
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Fax | 469-200-8070
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 36646
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License Number State | TX
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