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General NPI Number Information
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NPI Number | 1073753349
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Entity Type | Individual
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Provider Name | DEIDRE MICHELLE GORDON LMHC
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Gender | Female
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Dates
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Enumeration Date | 02/26/2009
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Last Update Date | 04/15/2010
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Provider Practice Location Address
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Address Line | 3841B SANDSTONE PL SE
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City | ALBUQUERQUE
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State | NM
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Zip | 87116-3015
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Country | US
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Telephone | 505-702-7803
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Fax |
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Provider Business Mailing Address
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Address Line | 3841B SANDSTONE PL SE
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City | ALBUQUERQUE
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State | NM
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Zip | 87116-3015
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Country | US
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Telephone | 505-293-0115
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | T-0120411
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License Number State | NM
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