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General NPI Number Information
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NPI Number | 1134351513
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Entity Type | Individual
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Provider Name | MISTY GAY MCARTHUR LCSW
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Gender | Female
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Dates
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Enumeration Date | 08/18/2009
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Last Update Date | 09/12/2024
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Provider Practice Location Address
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Address Line | 2810 SUDDERTH DR STE 210
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City | RUIDOSO
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State | NM
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Zip | 88345-6307
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Country | US
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Telephone | 575-937-4673
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Fax | 575-213-4886
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Provider Business Mailing Address
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Address Line | 2005 SE MAIN ST
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City | ROSWELL
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State | NM
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Zip | 88203-5922
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Country | US
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Telephone | 575-937-4673
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Fax | 575-213-4886
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | C-08477
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | M-07436
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License Number State | NM
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Taxonomy #3
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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