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General NPI Number Information
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NPI Number | 1356728703
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Entity Type | Organization
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Legal Business Name | CAMI GREENFIELD, LPCC LCC
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Dates
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Enumeration Date | 05/05/2015
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Last Update Date | 05/05/2015
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Provider Practice Location Address
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Address Line | 3321 CANDELARIA RD NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87107-1966
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Country | US
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Telephone | 505-359-0996
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Fax |
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Provider Business Mailing Address
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Address Line | 1709 WHITE CLOUD ST NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87112-4824
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Country | US
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Telephone | 505-359-0996
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. CANI LEE GREENFIELD
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Credential | LPCC
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Telephone | 505-359-0996
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | FA0091496
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License Number State | NM
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