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General NPI Number Information
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NPI Number | 1467336339
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Entity Type | Individual
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Provider Name | RAOUL VALENCIA LMSW
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Gender | Male
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Dates
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Enumeration Date | 08/04/2025
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 500 LASER RD NE
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City | RIO RANCHO
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State | NM
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Zip | 87124-4517
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Country | US
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Telephone | 505-962-1242
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Fax |
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Provider Business Mailing Address
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Address Line | 7104 TERRAZAS RD NW
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City | ALBUQUERQUE
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State | NM
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Zip | 87114-4182
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Country | US
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Telephone | 505-962-1242
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | SWB-2025-0883
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number | SWB-2025-0883
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License Number State | NM
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