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General NPI Number Information
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NPI Number | 1801951520
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Entity Type | Individual
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Provider Name | AMBERLY ANN SHAW LPC
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Gender | Female
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Dates
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Enumeration Date | 12/22/2006
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Last Update Date | 06/10/2025
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Provider Practice Location Address
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Address Line | 3706 NEW BOSTON RD
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City | TEXARKANA
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State | TX
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Zip | 75501-3144
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Country | US
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Telephone | 903-832-6690
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Fax | 903-832-4300
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Provider Business Mailing Address
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Address Line | 3706 NEW BOSTON RD
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City | TEXARKANA
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State | TX
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Zip | 75501-3144
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Country | US
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Telephone | 903-832-6690
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Fax | 903-832-4300
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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 |
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License Number State |
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