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General NPI Number Information
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NPI Number | 1538125141
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Entity Type | Individual
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Provider Name | LYDIA ZEPEDA JENNINGS MS
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Gender | Female
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Dates
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Enumeration Date | 04/22/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1502 ST FRANCIS DR
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City | SANTA FE
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State | NM
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Zip | 87501
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Country | US
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Telephone | 505-989-3798
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Fax | 505-389-3798
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Provider Business Mailing Address
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Address Line | 1502 ST FRANCIS DR
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City | SANTA FE
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State | NM
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Zip | 87501
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Country | US
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Telephone | 505-989-3798
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Fax | 505-989-3798
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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 | 0620
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 102804
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 1551
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License Number State | NM
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