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General NPI Number Information
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NPI Number | 1427169424
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Entity Type | Organization
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Legal Business Name | HOLLINGSWORTH, INC.
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 04/24/2008
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Provider Practice Location Address
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Address Line | 9631 MORROW AVE NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87112-2951
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Country | US
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Telephone | 505-275-2584
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Fax | 505-275-3810
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Provider Business Mailing Address
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Address Line | 9631 MORROW AVE NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87112-2951
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Country | US
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Telephone | 505-275-2584
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Fax | 505-275-3810
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. JAN K HOLLINGSWORTH
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Credential | MA, LPCC
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Telephone | 505-275-2584
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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 |
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License Number State |
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