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General NPI Number Information
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NPI Number | 1801703715
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Entity Type | Individual
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Provider Name | AALIYAH SHUJA KHAN LPC-A
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Gender | Female
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Dates
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Enumeration Date | 08/26/2026
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Last Update Date | 08/26/2026
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Provider Practice Location Address
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Address Line | 247 MAXWELL AVE
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City | IRVING
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State | TX
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Zip | 75061
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Country | US
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Telephone | 469-844-0258
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Fax | 214-853-5364
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Provider Business Mailing Address
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Address Line | 2820 LAPSLEY ST
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City | DALLAS
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State | TX
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Zip | 75212-4420
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Country | US
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Telephone | 469-844-0258
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Fax | 214-853-5364
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 103620
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License Number State | TX
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