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General NPI Number Information
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NPI Number | 1063858702
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Entity Type | Individual
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Provider Name | REBECCA KATHLEEN DAVIS-DURAN LCSW
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Gender | Female
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Dates
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Enumeration Date | 05/21/2013
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Last Update Date | 04/29/2025
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Provider Practice Location Address
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Address Line | 4011 BARBARA LOOP SE STE 208
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City | RIO RANCHO
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State | NM
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Zip | 87124-1041
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Country | US
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Telephone | 505-219-1125
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Fax |
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Provider Business Mailing Address
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Address Line | 9100 SAN MATEO BLVD NE APT 1089
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City | ALBUQUERQUE
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State | NM
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Zip | 87113-2609
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Country | US
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Telephone | 505-234-4554
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | M-10002
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | C-11010
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License Number State | NM
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