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General NPI Number Information
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NPI Number | 1881920692
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Entity Type | Individual
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Provider Name | AMBER LEE LANGEHENNIG CROSS M.ED., LPC
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Gender | Female
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Dates
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Enumeration Date | 10/29/2009
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Last Update Date | 10/29/2009
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Provider Practice Location Address
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Address Line | 6110 16TH ST
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City | LUBBOCK
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State | TX
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Zip | 79416-6139
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Country | US
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Telephone | 806-368-0291
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Fax | 806-368-0291
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Provider Business Mailing Address
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Address Line | PO BOX 53991
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City | LUBBOCK
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State | TX
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Zip | 79453-3991
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Country | US
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Telephone | 806-368-0291
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Fax | 806-368-0291
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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 | 61994
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License Number State | TX
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