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General NPI Number Information
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NPI Number | 1962619130
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Entity Type | Individual
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Provider Name | AARON PAUL ALLEN M.A., LPC
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Gender | Male
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Dates
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Enumeration Date | 05/17/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 204 E MAIN ST BOX 412
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City | WEST PLAINS
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State | MO
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Zip | 65775-3525
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Country | US
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Telephone | 417-255-2273
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Fax |
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Provider Business Mailing Address
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Address Line | RR 2 BOX 279AE
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City | DONIPHAN
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State | MO
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Zip | 63935-8032
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Country | US
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Telephone | 573-996-9432
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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 | 2002032319
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License Number State | MO
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