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General NPI Number Information
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NPI Number | 1083893663
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Entity Type | Individual
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Provider Name | LAURA L SWOFFORD LMFT
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Gender | Female
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Dates
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Enumeration Date | 10/30/2007
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Last Update Date | 10/14/2016
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Provider Practice Location Address
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Address Line | 2600 MARBLE AVE NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87106-2058
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Country | US
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Telephone | 505-507-8880
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Fax |
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Provider Business Mailing Address
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Address Line | 8101 GEM POINTE RD SW
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City | ALBUQUERQUE
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State | NM
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Zip | 87121-4229
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Country | US
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Telephone | 505-507-8880
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 0131461
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License Number State | NM
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