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General NPI Number Information
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NPI Number | 1225929581
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Entity Type | Individual
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Provider Name | JONATHAN MUNIZ LMSW
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Gender | Male
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Dates
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Enumeration Date | 07/14/2025
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Last Update Date | 07/21/2025
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Provider Practice Location Address
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Address Line | 3939 SAN PEDRO DR NE BLDG D1
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City | ALBUQUERQUE
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State | NM
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Zip | 87110-8905
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Country | US
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Telephone | 505-217-1717
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Fax |
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Provider Business Mailing Address
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Address Line | 9201 MONTGOMERY BLVD NE STE V
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City | ALBUQUERQUE
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State | NM
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Zip | 87111-2470
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Country | US
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Telephone | 505-507-7984
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Fax | 505-213-0041
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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 | SWB-2025-0638
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License Number State | NM
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