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General NPI Number Information
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NPI Number | 1285914093
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Entity Type | Individual
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Provider Name | ANTOINETTE KUEHN LCSW
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Gender | Female
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Dates
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Enumeration Date | 08/24/2011
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Last Update Date | 10/04/2019
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Provider Practice Location Address
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Address Line | 1 UNIVERSITY OF NEW MEXICO BUILDING 73 MSC06 3870
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City | ALBUQUERQUE
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State | NM
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Zip | 87131
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Country | US
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Telephone | 505-277-3136
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Fax |
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Provider Business Mailing Address
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Address Line | 36 SIERRA BLANCA
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City | CEDAR CREST
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State | NM
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Zip | 87008-9445
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Country | US
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Telephone | 505-795-4334
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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 | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number | M-06966
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | C-08175
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License Number State | NM
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