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General NPI Number Information
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NPI Number | 1427284959
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Entity Type | Individual
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Provider Name | BERJE ADELE BARROW-KAISER PHD,RPP,BCN, , HTC
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Gender | Female
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Dates
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Enumeration Date | 06/10/2009
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Last Update Date | 11/01/2025
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Provider Practice Location Address
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Address Line | 1212 RIVAS RD
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City | LOS LUNAS
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State | NM
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Zip | 87031-9333
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Country | US
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Telephone | 505-506-2168
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Fax |
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Provider Business Mailing Address
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Address Line | 1212 RIVAS RD
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City | LOS LUNAS
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State | NM
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Zip | 87031-9333
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Country | US
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Telephone | 505-506-2168
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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 | 173C00000X
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Taxonomy Name | Reflexologist
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License Number |
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State | NM
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Taxonomy #3
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Taxonomy Code | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number | 00000
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License Number State | NM
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Taxonomy #5
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Taxonomy Code | 246ZE0500X
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Taxonomy Name | EEG Specialist/Technologist
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License Number | #5363
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License Number State | NV
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Taxonomy #6
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | CTB-2025-0814
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License Number State | NM
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