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General NPI Number Information
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NPI Number | 1811250798
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Entity Type | Individual
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Provider Name | SHAWN CRESPO LPC
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Gender | Female
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Dates
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Enumeration Date | 06/16/2012
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Last Update Date | 11/03/2017
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Provider Practice Location Address
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Address Line | 21830 KINGSLAND BLVD STE 106
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City | KATY
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State | TX
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Zip | 77450-2500
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Country | US
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Telephone | 832-651-9666
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Fax | 832-847-4030
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Provider Business Mailing Address
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Address Line | 17411 KENTON CROSSING LN
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City | RICHMOND
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State | TX
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Zip | 77407-0882
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Country | US
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Telephone | 361-549-2360
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Fax | 832-847-4030
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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 | 66396
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License Number State | TX
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