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General NPI Number Information
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NPI Number | 1114159753
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Entity Type | Individual
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Provider Name | ADOREE ANNE SHUAIB LMHC
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Gender | Female
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Dates
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Enumeration Date | 08/16/2009
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 3321 CANDELARIA RD NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87107-1966
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Country | US
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Telephone | 505-514-9361
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Fax |
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Provider Business Mailing Address
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Address Line | 824 MOUNT TAYLOR AVE
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City | GRANTS
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State | NM
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Zip | 87020-2959
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Country | US
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Telephone | 505-610-5897
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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 | CMH0177171
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License Number State | NM
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