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General NPI Number Information
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NPI Number | 1427787035
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Entity Type | Organization
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Legal Business Name | LEARNING PATH
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Dates
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Enumeration Date | 06/08/2022
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Last Update Date | 12/12/2024
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Provider Practice Location Address
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Address Line | 308 N CALIFORNIA ST
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City | SOCORRO
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State | NM
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Zip | 87801-4207
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Country | US
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Telephone | 575-838-0061
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 660
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City | SOCORRO
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State | NM
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Zip | 87801-0660
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Country | US
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Telephone | 575-838-0061
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CAREY WALKER
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Credential |
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Telephone | 575-838-0061
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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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Taxonomy #2
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Taxonomy Code | 102L00000X
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Taxonomy Name | Psychoanalyst
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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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 |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 222Q00000X
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Taxonomy Name | Developmental Therapist
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License Number |
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License Number State |
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Taxonomy #6
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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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Taxonomy #7
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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