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General NPI Number Information
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NPI Number | 1831907955
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Entity Type | Individual
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Provider Name | KRISTEN RENEE SHAPER
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Gender | Female
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Dates
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Enumeration Date | 12/20/2024
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Last Update Date | 03/03/2025
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Provider Practice Location Address
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Address Line | 2620 LONG PRAIRIE RD STE 100
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City | FLOWER MOUND
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State | TX
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Zip | 75022-4953
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Country | US
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Telephone | 972-827-7171
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Fax |
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Provider Business Mailing Address
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Address Line | 309 BEECHWOOD LN
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City | COPPELL
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State | TX
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Zip | 75019-2956
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Country | US
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Telephone | 713-252-0829
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 91875
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License Number State | TX
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