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General NPI Number Information
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NPI Number | 1366055816
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Entity Type | Individual
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Provider Name | MEGAN SALAZ
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Gender | Female
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Dates
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Enumeration Date | 08/25/2020
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Last Update Date | 09/20/2023
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Provider Practice Location Address
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Address Line | 504 1ST ST
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City | TULAROSA
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State | NM
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Zip | 88352-2702
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Country | US
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Telephone | 575-585-8817
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Fax |
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Provider Business Mailing Address
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Address Line | 1776 1ST ST APT 3F
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City | ALAMOGORDO
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State | NM
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Zip | 88310-5271
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Country | US
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Telephone | 505-235-8115
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SWB-2023-0393
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License Number State | NM
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