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General NPI Number Information
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NPI Number | 1346768157
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Entity Type | Organization
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Legal Business Name | THOMAS H BIEN LLC
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Dates
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Enumeration Date | 08/31/2017
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Last Update Date | 08/31/2017
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Provider Practice Location Address
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Address Line | 2418 MILES RD SE
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City | ALBUQUERQUE
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State | NM
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Zip | 87106-3224
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Country | US
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Telephone | 505-242-2603
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Fax | 505-242-2603
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Provider Business Mailing Address
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Address Line | 33 CALLE DEL NORTE
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City | PLACITAS
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State | NM
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Zip | 87043-9207
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Country | US
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Telephone | 505-410-6092
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. THOMAS HENRY BIEN
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Credential | PH.D.
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Telephone | 505-242-2603
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 616
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | 616
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License Number State | NM
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 616
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License Number State | NM
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