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General NPI Number Information
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NPI Number | 1487162863
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Entity Type | Individual
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Provider Name | HALLIE JENEE ALLEN LCP
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Gender | Female
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Dates
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Enumeration Date | 01/18/2018
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Last Update Date | 06/11/2019
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Provider Practice Location Address
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Address Line | 3597 E MONARCH SKY LN STE F-240
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City | MERIDIAN
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State | ID
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Zip | 83646-1053
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Country | US
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Telephone | 208-917-3721
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Fax |
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Provider Business Mailing Address
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Address Line | 3638 W RED JADE CT
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City | MERIDIAN
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State | ID
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Zip | 83646-0014
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Country | US
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Telephone | 435-868-9017
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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 | 6918
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License Number State | ID
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