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General NPI Number Information
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NPI Number | 1043378227
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Entity Type | Organization
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Legal Business Name | PATHFINDER VISIONS, INC.
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Dates
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Enumeration Date | 12/04/2006
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Last Update Date | 11/20/2023
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Provider Practice Location Address
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Address Line | 107 BRYN MAWR DR SE
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City | ALBUQUERQUE
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State | NM
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Zip | 87106-2206
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Country | US
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Telephone | 505-681-0708
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Fax | 888-910-5156
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Provider Business Mailing Address
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Address Line | 424 BRYN MAWR DR SE
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City | ALBUQUERQUE
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State | NM
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Zip | 87106-2206
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Country | US
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Telephone | 505-681-0708
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Fax | 888-910-5156
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Authorized Official
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Title or Position | OWNER
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Name | MS. LYDIA S LENNIHAN
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Credential | LPCC
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Telephone | 505-681-0708
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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 | 93501
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License Number State | NM
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