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General NPI Number Information
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NPI Number | 1356536551
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Entity Type | Individual
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Provider Name | MARIA P ARIZAGA PHD
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Gender | Female
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Dates
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Enumeration Date | 09/11/2007
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Last Update Date | 09/11/2007
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Provider Practice Location Address
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Address Line | 3060 HWY 180 EAST
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City | SILVER CITY
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State | NM
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Zip | 88061
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Country | US
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Telephone | 505-388-2743
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Fax | 505-388-8885
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Provider Business Mailing Address
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Address Line | 4562 TIMMER WAY EAST
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City | SILVER CITY
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State | NM
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Zip | 88061
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Country | US
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Telephone | 505-313-5885
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 0853
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License Number State | NM
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