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General NPI Number Information
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NPI Number | 1306574439
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Entity Type | Organization
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Legal Business Name | TURQUOISE WINGS COUNSELING, LLC
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Dates
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Enumeration Date | 08/08/2022
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Last Update Date | 08/16/2022
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Provider Practice Location Address
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Address Line | 1609 VERMONT ST NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87110-6035
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Country | US
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Telephone | 505-506-8244
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Fax |
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Provider Business Mailing Address
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Address Line | 1609 VERMONT ST NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87110-6035
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Country | US
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Telephone | 505-506-8244
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JULIANA J HINE
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Credential | MED, LPCC
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Telephone | 505-506-8244
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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