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General NPI Number Information
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NPI Number | 1528382488
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Entity Type | Organization
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Legal Business Name | COUNSELING WITHIN LLC
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Dates
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Enumeration Date | 03/22/2010
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Last Update Date | 03/19/2015
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Provider Practice Location Address
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Address Line | 1925 ASPEN DR STE101B
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City | SANTA FE
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State | NM
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Zip | 87505-5459
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Country | US
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Telephone | 505-471-0402
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Fax | 505-431-6850
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Provider Business Mailing Address
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Address Line | 1925 ASPEN DR STE101B
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City | SANTA FE
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State | NM
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Zip | 87505-5459
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Country | US
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Telephone | 505-471-0402
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Fax | 505-431-6850
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Authorized Official
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Title or Position | OWNER/CLINICAL SOCIAL WORKER
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Name | MS. ELAINE MEIZLISH
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Credential | MSW
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Telephone | 505-471-0402
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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 |
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License Number State |
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