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General NPI Number Information
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NPI Number | 1730633488
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Entity Type | Individual
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Provider Name | BRIANNA ALLEN PSYD
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Gender | Female
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Dates
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Enumeration Date | 08/11/2016
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Last Update Date | 10/21/2024
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Provider Practice Location Address
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Address Line | 4030 WAKE FOREST RD STE 349
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City | RALEIGH
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State | NC
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Zip | 27609-0010
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Country | US
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Telephone | 561-299-1447
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Fax |
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Provider Business Mailing Address
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Address Line | 1551 ATRIA CIR APT 2405
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City | RALEIGH
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State | NC
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Zip | 27604-5335
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Country | US
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Telephone | 860-539-7234
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY12032
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License Number State | FL
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