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General NPI Number Information
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NPI Number | 1659030906
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Entity Type | Individual
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Provider Name | ALLEN SHAMON LCSW
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Gender | Male
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Dates
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Enumeration Date | 12/14/2021
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Last Update Date | 12/01/2024
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Provider Practice Location Address
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Address Line | 8044 REDBUD VINE ST
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89085-4455
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Country | US
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Telephone | 702-556-9891
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Fax |
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Provider Business Mailing Address
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Address Line | 8044 REDBUD VINE ST
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89085-4455
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Country | US
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Telephone | 702-556-9891
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 227946
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | LC23465
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License Number State | ME
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Taxonomy #3
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 4056
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License Number State | NH
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Taxonomy #4
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 44SC06362900
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License Number State | NJ
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Taxonomy #5
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | TPSW4105
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License Number State | FL
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Taxonomy #6
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | MBTSWO-45162
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License Number State | ID
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Taxonomy #7
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 11513-C
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License Number State | NV
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