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General NPI Number Information
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NPI Number | 1245091883
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Entity Type | Individual
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Provider Name | RAEANNE SNOW
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Gender | Female
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Dates
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Enumeration Date | 01/22/2024
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Last Update Date | 10/28/2025
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Provider Practice Location Address
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Address Line | 1721 GIRARD BLVD NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87106-1718
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Country | US
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Telephone | 505-318-2051
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Fax |
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Provider Business Mailing Address
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Address Line | 121 TERRACE ST SE APT A
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City | ALBUQUERQUE
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State | NM
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Zip | 87106-5406
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Country | US
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Telephone |
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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 | SWB-2024-0373
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License Number State | NM
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