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General NPI Number Information
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NPI Number | 1669620274
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Entity Type | Individual
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Provider Name | SHANNON H. KHAN M.A., LPC, LPA
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Gender | Female
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Dates
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Enumeration Date | 09/08/2008
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Last Update Date | 04/04/2016
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Provider Practice Location Address
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Address Line | 3701 KIRBY DR. SUITE 1014
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City | HOUSTON
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State | TX
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Zip | 77098
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Country | US
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Telephone | 832-243-2381
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Fax | 832-203-4077
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Provider Business Mailing Address
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Address Line | 3701 KIRBY DR., SUITE 1014
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City | HOUSTON
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State | TX
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Zip | 77098
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Country | US
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Telephone | 832-243-2381
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Fax | 832-203-4077
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 62691
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License Number State | TX
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