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General NPI Number Information
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NPI Number | 1013303585
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Entity Type | Organization
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Legal Business Name | PRESENT SOLUTIONS
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Dates
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Enumeration Date | 04/11/2015
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Last Update Date | 04/11/2015
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Provider Practice Location Address
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Address Line | 2130 MATTHEW AVE NW
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City | ALBUQUERQUE
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State | NM
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Zip | 87104-3211
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Country | US
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Telephone | 505-056-3886
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Fax |
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Provider Business Mailing Address
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Address Line | 2130 MATTHEW AVE NW
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City | ALBUQUERQUE
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State | NM
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Zip | 87104-3211
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Country | US
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Telephone | 505-506-3886
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Fax |
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Authorized Official
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Title or Position | PSYCHOTHERAPIST
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Name | MS. ROCHELLE YOUNG
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Credential | LPCC
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Telephone | 505-506-3886
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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 | 0143771
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License Number State | NM
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