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General NPI Number Information
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NPI Number | 1417047150
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Entity Type | Individual
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Provider Name | BETTE B. BETTS MSW
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Gender | Female
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Dates
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Enumeration Date | 10/13/2006
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Last Update Date | 09/06/2023
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Provider Practice Location Address
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Address Line | 1012 MARQUEZ PL SUITE 211 A
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City | SANTA FE
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State | NM
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Zip | 87505-1834
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Country | US
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Telephone | 505-310-1074
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Fax | 505-992-6145
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Provider Business Mailing Address
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Address Line | 1920 TIJERAS RD
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City | SANTA FE
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State | NM
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Zip | 87505-3352
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Country | US
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Telephone | 505-310-1074
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Fax | 505-992-6145
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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 | I-1698
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License Number State | NM
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