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General NPI Number Information
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NPI Number | 1588583231
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Entity Type | Individual
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Provider Name | ALLANTE LUMAS
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Gender | Female
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Dates
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Enumeration Date | 07/14/2026
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Last Update Date | 07/14/2026
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Provider Practice Location Address
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Address Line | 1208 W MAGNOLIA AVE STE 234
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City | FORT WORTH
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State | TX
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Zip | 76104-8801
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Country | US
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Telephone | 817-989-6312
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Fax |
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Provider Business Mailing Address
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Address Line | 10440 MITUNA ST
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City | FORT WORTH
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State | TX
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Zip | 76179-1074
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Country | US
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Telephone | 313-799-0906
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 70873
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 40153
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License Number State | TX
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