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General NPI Number Information
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NPI Number | 1386899938
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Entity Type | Individual
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Provider Name | LYNDA K KARLEY LISW
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Gender | Female
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Dates
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Enumeration Date | 11/24/2008
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Last Update Date | 02/04/2025
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Provider Practice Location Address
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Address Line | 428 LOS LENTES RD SE
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City | LOS LUNAS
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State | NM
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Zip | 87031-6018
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Country | US
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Telephone | 505-865-3350
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Fax | 505-365-1006
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Provider Business Mailing Address
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Address Line | PO BOX 28164
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City | SANTA FE
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State | NM
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Zip | 87592-8164
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Country | US
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Telephone | 402-717-4390
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Fax | 402-717-4280
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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 | 007205
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License Number State | IA
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