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General NPI Number Information
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NPI Number | 1093024465
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Entity Type | Individual
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Provider Name | AMY E MCGRANE MSW
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Gender | Female
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Dates
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Enumeration Date | 10/01/2010
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Last Update Date | 10/01/2010
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Provider Practice Location Address
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Address Line | 3100 MENAUL BLVD NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87107-1835
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Country | US
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Telephone | 505-254-0280
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Fax |
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Provider Business Mailing Address
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Address Line | 117 14TH ST SW
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City | ALBUQUERQUE
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State | NM
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Zip | 87102-2821
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Country | US
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Telephone | 505-264-3804
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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 | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number | M-06672
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License Number State | NM
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