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General NPI Number Information
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NPI Number | 1386558484
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Entity Type | Individual
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Provider Name | AMY BALDONADO
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Gender | Female
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Dates
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Enumeration Date | 09/28/2026
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Last Update Date | 09/28/2026
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Provider Practice Location Address
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Address Line | 515 PARK AVE
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City | GALLUP
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State | NM
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Zip | 87301-5806
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Country | US
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Telephone | 505-722-8922
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Fax |
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Provider Business Mailing Address
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Address Line | 601 EDITH AVE
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City | GALLUP
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State | NM
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Zip | 87301-5670
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Country | US
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Telephone | 575-642-7575
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 292322
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License Number State | NM
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