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General NPI Number Information
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NPI Number | 1477321990
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Entity Type | Organization
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Legal Business Name | FOCUS ON HEALING, P.C.
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Dates
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Enumeration Date | 12/14/2023
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Last Update Date | 12/14/2023
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Provider Practice Location Address
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Address Line | 5800 MCLEOD RD NE STE F
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City | ALBUQUERQUE
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State | NM
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Zip | 87109-2467
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Country | US
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Telephone | 480-665-0200
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Fax |
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Provider Business Mailing Address
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Address Line | 7191 W FIREBIRD DR
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City | GLENDALE
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State | AZ
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Zip | 85308-9581
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Country | US
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Telephone | 480-665-0200
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Fax |
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | KELI MAUREEN DERSCH-BALDONADO
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Credential | LPCC
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Telephone | 480-665-0200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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