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General NPI Number Information
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NPI Number | 1699644880
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Entity Type | Individual
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Provider Name | CHARLOTTE ALLEN DBA
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Gender | Female
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Dates
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Enumeration Date | 11/04/2025
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Last Update Date | 11/04/2025
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Provider Practice Location Address
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Address Line | 100 CRESCENT CT FL 7
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City | DALLAS
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State | TX
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Zip | 75201-6900
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Country | US
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Telephone | 888-301-2447
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Fax |
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Provider Business Mailing Address
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Address Line | 5249 LAKE TERRACE CT
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City | GARLAND
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State | TX
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Zip | 75043-4263
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Country | US
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Telephone | 214-202-7112
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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