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General NPI Number Information
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NPI Number | 1053221192
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Entity Type | Individual
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Provider Name | SAMANTHA DANIELLE LOPEZ LMSW
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Gender | Female
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Dates
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Enumeration Date | 09/10/2026
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Last Update Date | 09/10/2026
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Provider Practice Location Address
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Address Line | 210 W LAS CRUCES AVE
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City | LAS CRUCES
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State | NM
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Zip | 88005-1804
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Country | US
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Telephone | 575-249-0390
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Fax |
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Provider Business Mailing Address
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Address Line | 11607 PELLICANO DR APT 1808
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City | EL PASO
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State | TX
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Zip | 79936-6620
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Country | US
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Telephone | 915-352-8737
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 120235
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | SWB-2026-1232
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License Number State | NM
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