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NPI 1093517682

NPI 1093517682 : KRISED ARRIOLA LMSW : CHAPARRAL, NM

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General NPI Number Information
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    NPI Number           |    1093517682
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    Entity Type          |    Individual 
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    Provider Name        |    KRISED ARRIOLA LMSW
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/25/2025
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    Last Update Date     |    03/25/2025
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Provider Practice Location Address
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    Address Line         |    320 MCCOMBS RD STE C 
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    City                 |    CHAPARRAL
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    State                |    NM
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    Zip                  |    88081-7965
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    Country              |    US
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    Telephone            |    575-882-5100
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    Fax                  |    575-882-1151
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Provider Business Mailing Address
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    Address Line         |    PO BOX 2671 
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    City                 |    ANTHONY
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    State                |    NM
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    Zip                  |    88021-2671
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    Country              |    US
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    Telephone            |    575-882-5100
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    Fax                  |    575-882-1151
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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        |    104100000X
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    Taxonomy Name        |    Social Worker
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    License Number       |    SWB-2025-0250
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    License Number State |    NM
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