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General NPI Number Information
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NPI Number | 1184847832
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Entity Type | Individual
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Provider Name | ANDREA SHEREE NARANJO LMSW
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Gender | Female
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Dates
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Enumeration Date | 04/11/2007
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Last Update Date | 06/13/2012
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Provider Practice Location Address
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Address Line | 220 4TH AVE
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City | RATON
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State | NM
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Zip | 87740-2643
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Country | US
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Telephone | 505-445-2754
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Fax |
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Provider Business Mailing Address
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Address Line | 13 TRUMAN DR
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City | CLAYTON
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State | NM
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Zip | 88415-3719
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Country | US
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Telephone | 575-374-0925
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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 | M-05947
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License Number State | NM
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