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General NPI Number Information
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NPI Number | 1437221439
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Entity Type | Individual
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Provider Name | LUCY A BIRBIGLIA LCSW LISW
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Gender | Female
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Dates
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Enumeration Date | 11/14/2006
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Last Update Date | 12/30/2010
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Provider Practice Location Address
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Address Line | 12836 LOMAS BLVD NE SUITE B
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City | ALBUQUERQUE
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State | NM
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Zip | 87112-6210
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Country | US
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Telephone | 505-307-3718
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Fax |
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Provider Business Mailing Address
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Address Line | 1716 ALVARADO DR NE APT. B
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City | ALBUQUERQUE
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State | NM
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Zip | 87110-6562
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Country | US
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Telephone | 505-323-2190
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | I06435
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 0114091
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License Number State | NY
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