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General NPI Number Information
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NPI Number | 1356652978
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Entity Type | Individual
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Provider Name | CORAZON ADELA SANCHEZ LCSW
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Gender | Female
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Dates
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Enumeration Date | 06/29/2010
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Last Update Date | 12/09/2024
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Provider Practice Location Address
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Address Line | 8300 CONSTITUTION AVE NE CONSULT LIAISON
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City | ALBUQUERQUE
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State | NM
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Zip | 87110-7624
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Country | US
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Telephone | 505-291-2134
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Fax | 505-291-2967
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Provider Business Mailing Address
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Address Line | PO BOX 26666 PHS PROVIDER ENROLLEMT
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City | ALBUQUERQUE
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State | NM
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Zip | 87125-6666
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Country | US
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Telephone | 505-923-6770
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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 | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | NM
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | C-10571
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License Number State | NM
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