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General NPI Number Information
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NPI Number | 1447373881
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Entity Type | Individual
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Provider Name | PAUL ERIC GALBRAITH LISW/LCSW
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Gender | Male
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Dates
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Enumeration Date | 04/09/2007
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Last Update Date | 10/20/2009
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Provider Practice Location Address
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Address Line | 204A W MARKET ST
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City | SILVER CITY
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State | NM
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Zip | 88061-5370
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Country | US
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Telephone | 575-654-0812
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Fax |
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Provider Business Mailing Address
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Address Line | 204A W MARKET ST
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City | SILVER CITY
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State | NM
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Zip | 88061-5370
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Country | US
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Telephone | 575-654-0812
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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 | I-06657
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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 | 34896
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 34005492A
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License Number State | IN
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