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General NPI Number Information
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NPI Number | 1508370586
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Entity Type | Organization
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Legal Business Name | MOLLY ADLER LLC
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Dates
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Enumeration Date | 11/29/2017
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Last Update Date | 11/29/2017
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Provider Practice Location Address
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Address Line | 231 SIERRA DR SE STE 4
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City | ALBUQUERQUE
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State | NM
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Zip | 87108-5633
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Country | US
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Telephone | 505-916-1081
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Fax |
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Provider Business Mailing Address
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Address Line | 733 ADAMS ST NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87110-6223
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Country | US
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Telephone | 505-916-1081
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MOLLY ADLER
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Credential | LCSW
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Telephone | 617-784-3414
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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 | C-10088
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License Number State | NM
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