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General NPI Number Information
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NPI Number | 1437276359
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Entity Type | Organization
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Legal Business Name | BETHEL BAPTIST COUNSELING
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Dates
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Enumeration Date | 03/24/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1316 SCENIC DR
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City | ALAMOGORDO
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State | NM
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Zip | 88310-4234
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Country | US
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Telephone | 505-437-7311
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Fax | 505-439-5349
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Provider Business Mailing Address
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Address Line | 1316 SCENIC DR
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City | ALAMOGORDO
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State | NM
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Zip | 88310-4234
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Country | US
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Telephone | 505-437-7311
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Fax | 505-439-5349
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Authorized Official
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Title or Position | FINANCIAL SECRETARY
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Name | MRS. MARY LOCKWOOD
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Credential |
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Telephone | 505-437-7311
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 1870,1871
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License Number State | NM
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