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General NPI Number Information
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NPI Number | 1588964969
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Entity Type | Individual
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Provider Name | KAREN MARIE ALLEN PHD
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Gender | Female
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Dates
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Enumeration Date | 11/01/2010
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Last Update Date | 11/01/2010
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Provider Practice Location Address
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Address Line | 10101 SLATER AVE
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-4714
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Country | US
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Telephone | 714-963-5023
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Fax | 714-964-5784
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Provider Business Mailing Address
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Address Line | 10807 EL GORRA CIR
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-3840
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Country | US
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Telephone | 714-963-5023
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Fax | 877-580-5870
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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 | PSB 35554
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License Number State | CA
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