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General NPI Number Information
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NPI Number | 1477919967
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Entity Type | Individual
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Provider Name | AUBREY KOPCZYNSKI LMHC
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Gender | Female
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Dates
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Enumeration Date | 01/13/2016
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Last Update Date | 03/11/2020
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Provider Practice Location Address
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Address Line | 912 1ST ST NW
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City | ALBUQUERQUE
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State | NM
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Zip | 87102-2355
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Country | US
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Telephone | 505-224-9777
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Fax |
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Provider Business Mailing Address
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Address Line | 501 CARLISLE BLVD SE
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City | ALBUQUERQUE
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State | NM
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Zip | 87106-1507
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Country | US
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Telephone | 505-228-2846
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | T-0177841
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License Number State | NM
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