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General NPI Number Information
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NPI Number | 1649507047
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Entity Type | Individual
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Provider Name | ALLYSON CARSON LPC
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Gender | Female
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Dates
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Enumeration Date | 11/06/2009
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Last Update Date | 05/03/2018
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Provider Practice Location Address
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Address Line | 751 HEBRON PKWY STE 305D
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City | LEWISVILLE
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State | TX
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Zip | 75057-5055
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Country | US
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Telephone | 972-646-1398
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Fax | 214-291-9571
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Provider Business Mailing Address
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Address Line | 1001 E HEBRON PKWY STE 118-123
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City | CARROLLTON
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State | TX
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Zip | 75010-1002
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Country | US
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Telephone | 972-646-1398
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Fax | 214-291-9571
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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 | 76399
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License Number State | TX
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