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General NPI Number Information
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NPI Number | 1033695788
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Entity Type | Organization
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Legal Business Name | CARRIE L HINDS LLC
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Dates
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Enumeration Date | 07/16/2018
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Last Update Date | 05/31/2020
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Provider Practice Location Address
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Address Line | 309 N CHEYENNE AVE
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City | SILVER CITY
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State | NM
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Zip | 88061-3725
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Country | US
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Telephone | 970-270-2851
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Fax | 970-628-4991
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Provider Business Mailing Address
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Address Line | PO BOX 453
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City | SILVER CITY
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State | NM
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Zip | 88062-0453
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Country | US
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Telephone | 970-270-2851
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Fax | 970-628-4991
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Authorized Official
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Title or Position | OWNER
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Name | CARRIE L HINDS
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Credential | LCSW
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Telephone | 970-270-2851
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CSW.00000606
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License Number State | CO
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