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General NPI Number Information
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NPI Number | 1245525302
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Entity Type | Individual
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Provider Name | JUDITH M SAFFORD LMT
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Gender | Female
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Dates
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Enumeration Date | 06/16/2011
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Last Update Date | 06/16/2011
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Provider Practice Location Address
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Address Line | 18 CIRCLE DR.
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City | GLENWOOD
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State | NM
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Zip | 88039
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Country | US
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Telephone | 575-539-2114
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Fax |
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Provider Business Mailing Address
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Address Line | P.O.BOX 334
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City | GLENWOOD
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State | NM
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Zip | 88039-0334
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Country | US
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Telephone | 575-539-2114
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 3835
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License Number State | NM
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