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General NPI Number Information
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NPI Number | 1487927174
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Entity Type | Individual
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Provider Name | AMIE MARIE ALLAIN PHD
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Gender | Female
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Dates
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Enumeration Date | 02/12/2012
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Last Update Date | 10/14/2015
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Provider Practice Location Address
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Address Line | 2316 TIMBER SHADOWS DR, SUITE 200
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City | KINGWOOD
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State | TX
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Zip | 77339-4200
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Country | US
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Telephone | 281-217-2505
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Fax |
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Provider Business Mailing Address
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Address Line | 7019 BACKLICK CT
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City | SPRINGFIELD
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State | VA
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Zip | 22151-3903
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Country | US
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Telephone | 281-217-2505
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 36993
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 1143
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License Number State | LA
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Taxonomy #3
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | 36993
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License Number State | TX
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