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General NPI Number Information
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NPI Number | 1427475581
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Entity Type | Organization
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Legal Business Name | UNM CDD SUPPORTS INTENSITY SCALE
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Dates
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Enumeration Date | 03/26/2014
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Last Update Date | 03/26/2014
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Provider Practice Location Address
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Address Line | 2300 MENAUL BLVD NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87107-1851
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Country | US
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Telephone | 505-272-2990
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Fax |
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Provider Business Mailing Address
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Address Line | 2300 MENAUL BLVD NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87107-1851
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Country | US
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Telephone | 505-272-2990
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. ANTHONY CAHILL
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Credential | PH.D.
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Telephone | 505-272-2990
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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