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General NPI Number Information
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NPI Number | 1427115872
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Entity Type | Individual
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Provider Name | BETH A DARROW MS LPC
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Gender | Female
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Dates
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Enumeration Date | 01/03/2007
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Last Update Date | 09/16/2021
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Provider Practice Location Address
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Address Line | 3212 MONTE VISTA BLVD NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87106-2120
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Country | US
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Telephone | 903-315-1678
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Fax |
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Provider Business Mailing Address
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Address Line | 6457 VOOSCANE AVE
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City | COCHITI LAKE
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State | NM
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Zip | 87083-6001
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Country | US
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Telephone | 903-316-1678
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 12904
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | CCNH0177881
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License Number State | NM
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