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General NPI Number Information
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NPI Number | 1407923899
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Entity Type | Individual
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Provider Name | CAROL C REINHART LPCC
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Gender | Female
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Dates
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Enumeration Date | 11/29/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2112 MAIN ST NE SUITE A
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City | LOS LUNAS
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State | NM
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Zip | 87031-6353
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Country | US
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Telephone | 505-865-6176
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Fax | 505-865-3268
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Provider Business Mailing Address
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Address Line | 3 ALCALDE RD
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City | SANTA FE
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State | NM
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Zip | 87508-8721
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Country | US
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Telephone | 505-466-6140
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 3264
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License Number State | NM
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