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General NPI Number Information
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NPI Number | 1477948164
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Entity Type | Individual
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Provider Name | REBECCA PASKIND LCSW, PHD
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Gender | Female
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Dates
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Enumeration Date | 03/31/2015
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Last Update Date | 09/06/2021
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Provider Practice Location Address
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Address Line | 215 MONTCLAIRE DR NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87108-1123
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Country | US
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Telephone | 720-394-1628
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Fax | 720-394-1628
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Provider Business Mailing Address
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Address Line | 215 MONTCLAIRE DR NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87108-1123
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Country | US
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Telephone | 720-394-1628
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Fax | 720-394-1628
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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 | CSW00991504
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License Number State | CO
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