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General NPI Number Information
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NPI Number | 1528196797
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Entity Type | Individual
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Provider Name | DURANDA COSETTE MONTANEZ PH.D
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Gender | Female
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Dates
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Enumeration Date | 03/01/2007
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Last Update Date | 11/12/2025
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Provider Practice Location Address
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Address Line | 755 S TELSHOR BLVD STE Q102
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City | LAS CRUCES
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State | NM
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Zip | 88011-4681
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Country | US
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Telephone | 575-888-4666
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Fax | 888-473-9160
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Provider Business Mailing Address
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Address Line | 755 S TELSHOR BLVD STE Q102
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City | LAS CRUCES
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State | NM
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Zip | 88011-4681
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Country | US
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Telephone | 575-888-4666
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Fax | 888-473-9160
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 0944
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PSY944
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License Number State | NM
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Taxonomy #3
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Taxonomy Code | 247200000X
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Taxonomy Name | Other Technician
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License Number |
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License Number State |
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