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General NPI Number Information
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NPI Number | 1154331593
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Entity Type | Individual
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Provider Name | HELEN MARIE PEARCE ED D
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Gender | Female
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Dates
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Enumeration Date | 08/08/2006
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Last Update Date | 08/15/2017
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Provider Practice Location Address
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Address Line | 100 SUN AVE NE STE 650
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City | ALBUQUERQUE
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State | NM
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Zip | 87109-4670
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Country | US
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Telephone | 505-715-2459
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Fax | 505-797-7628
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Provider Business Mailing Address
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Address Line | 7900 WOODWIND DR NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87109-5259
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Country | US
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Telephone | 505-715-2459
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Fax | 505-797-7628
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 438
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License Number State | NM
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