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General NPI Number Information
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NPI Number | 1407982002
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Entity Type | Organization
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Legal Business Name | CONFLICT MANAGEMENT INC.
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Dates
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Enumeration Date | 02/26/2007
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Last Update Date | 02/19/2010
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Provider Practice Location Address
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Address Line | 7920 MOUNTAIN RD NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87110-7805
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Country | US
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Telephone | 505-884-9411
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Fax | 505-292-1428
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Provider Business Mailing Address
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Address Line | 7920 MOUNTAIN RD NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87110-7805
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Country | US
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Telephone | 505-884-9411
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Fax | 505-292-1428
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Authorized Official
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Title or Position | PRESIDENT
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Name | KERIN K GROVES
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Credential | LPCC
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Telephone | 505-884-9411
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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 | 0045047
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License Number State | NM
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