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General NPI Number Information
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NPI Number | 1073883039
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Entity Type | Organization
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Legal Business Name | BUILDING BRIDGES COUNSELING SERVICES LLC
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Dates
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Enumeration Date | 01/09/2012
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Last Update Date | 01/09/2012
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Provider Practice Location Address
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Address Line | 726 E MICHIGAN DR SUITE 136
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City | HOBBS
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State | NM
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Zip | 88240-3467
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Country | US
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Telephone | 575-605-7074
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Fax | 575-393-0521
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Provider Business Mailing Address
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Address Line | 726 E MICHIGAN DR SUITE 136
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City | HOBBS
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State | NM
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Zip | 88240-3467
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Country | US
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Telephone | 575-605-7074
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Fax | 575-393-0521
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Authorized Official
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Title or Position | OWNER
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Name | MS. RUTH K MACY
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Credential | L.I.S.W.
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Telephone | 575-605-7074
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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 | I-06024
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License Number State | NM
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