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General NPI Number Information
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NPI Number | 1558631135
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Entity Type | Individual
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Provider Name | AMANDA LEIGH ALLEN MA, LPC
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Gender | Female
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Dates
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Enumeration Date | 01/12/2012
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Last Update Date | 07/08/2022
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Provider Practice Location Address
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Address Line | 3012 SW 26TH AVE STE 200
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City | AMARILLO
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State | TX
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Zip | 79109-3161
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Country | US
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Telephone | 806-570-4124
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Fax |
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Provider Business Mailing Address
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Address Line | 7504 TOPEKA DR
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City | AMARILLO
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State | TX
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Zip | 79118-1133
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Country | US
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Telephone | 806-570-4124
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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 | 66263
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License Number State | TX
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