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General NPI Number Information
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NPI Number | 1962001735
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Entity Type | Individual
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Provider Name | ALLISON ELAINE TIGNOR LMHCA
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Gender | Female
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Dates
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Enumeration Date | 10/22/2020
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Last Update Date | 12/06/2024
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Provider Practice Location Address
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Address Line | 101 S WASHINGTON ST
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City | MARION
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State | IN
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Zip | 46952-3867
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Country | US
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Telephone | 765-662-9971
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Fax | 765-651-6556
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Provider Business Mailing Address
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Address Line | 505 N WABASH AVE
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City | MARION
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State | IN
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Zip | 46952-2608
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Country | US
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Telephone |
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 88002646A
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | RBT-20-139827
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License Number State | IN
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