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General NPI Number Information
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NPI Number | 1164887568
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Entity Type | Individual
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Provider Name | LINDA GARIBOLDI
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Gender | Female
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Dates
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Enumeration Date | 12/29/2015
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Last Update Date | 05/06/2016
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Provider Practice Location Address
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Address Line | 2632 PENNSYLVANIA ST NE STE E
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City | ALBUQUERQUE
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State | NM
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Zip | 87110-3650
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Country | US
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Telephone | 505-242-4400
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Fax |
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Provider Business Mailing Address
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Address Line | 4550 EUBANK BLVD NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87111-3479
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Country | US
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Telephone | 973-727-4539
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | X-09263
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License Number State | NM
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