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General NPI Number Information
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NPI Number | 1457472649
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Entity Type | Organization
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Legal Business Name | ELIZABETH C. STIRLING LLC
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1063 GOVERNOR DEMPSEY DR
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City | SANTA FE
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State | NM
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Zip | 87501-1045
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Country | US
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Telephone | 505-983-1583
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Fax | 505-989-1748
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Provider Business Mailing Address
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Address Line | PO BOX 1267
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City | SANTA FE
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State | NM
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Zip | 87504-1267
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Country | US
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Telephone | 505-983-1583
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Fax | 505-989-1748
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. ELIZABETH COLE STIRLING
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Credential | PH.D.
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Telephone | 505-983-1583
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 594
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License Number State | NM
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