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General NPI Number Information
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NPI Number | 1659427599
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Entity Type | Individual
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Provider Name | ALLEN E SCHENK LPC
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Gender | Male
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Dates
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Enumeration Date | 01/25/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1011 THEOBALD ST
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City | SAINT LOUIS
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State | MO
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Zip | 63147-1922
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Country | US
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Telephone | 314-388-2777
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Fax | 314-388-4903
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Provider Business Mailing Address
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Address Line | 2316 ADA WORTLEY AVE
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City | SAINT LOUIS
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State | MO
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Zip | 63136-5071
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Country | US
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Telephone | 314-869-2408
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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 | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number |
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License Number State |
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