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General NPI Number Information
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NPI Number | 1811880164
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Entity Type | Individual
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Provider Name | ALLISON ADELINA CLARKE MA, ED.S., N.C.S.P.
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Gender | Female
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Dates
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Enumeration Date | 06/03/2025
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Last Update Date | 06/03/2025
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Provider Practice Location Address
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Address Line | 760 JAZMIN AVE
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City | VENTURA
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State | CA
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Zip | 93004-1826
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Country | US
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Telephone | 805-672-2701
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Fax |
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Provider Business Mailing Address
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Address Line | 5495 NORTHWIND CT APT 104
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City | VENTURA
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State | CA
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Zip | 93003-0469
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Country | US
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Telephone | 818-357-8109
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number |
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License Number State | CA
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