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General NPI Number Information
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NPI Number | 1114097417
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Entity Type | Individual
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Provider Name | DEE ANN SANDS LPCC, NCC, CADS
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Gender | Female
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Dates
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Enumeration Date | 11/08/2006
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Last Update Date | 08/01/2013
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Provider Practice Location Address
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Address Line | 608 E COMANCHE ST
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City | FARMINGTON
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State | NM
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Zip | 87401-6815
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Country | US
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Telephone | 505-325-0072
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Fax |
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Provider Business Mailing Address
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Address Line | 608 E COMANCHE ST
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City | FARMINGTON
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State | NM
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Zip | 87401-6815
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Country | US
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Telephone | 505-325-0072
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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 | 1740
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 13
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License Number State | NM
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