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General NPI Number Information
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NPI Number | 1538344296
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Entity Type | Organization
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Legal Business Name | ELLEN LEFKOWITZ, INCORPORATED
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Dates
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Enumeration Date | 12/31/2007
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Last Update Date | 04/13/2016
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Provider Practice Location Address
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Address Line | 532 DON GASPAR AVE
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City | SANTA FE
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State | NM
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Zip | 87505-2626
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Country | US
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Telephone | 505-660-6140
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Fax | 505-216-2593
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Provider Business Mailing Address
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Address Line | 532 DON GASPAR AVE
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City | SANTA FE
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State | NM
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Zip | 87505-2626
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Country | US
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Telephone | 505-660-6140
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Fax | 505-216-2593
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Authorized Official
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Title or Position | OWNER
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Name | MS. ELLEN LEFKOWITZ
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Credential | LISW
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Telephone | 505-660-6140
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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 | I-0912
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License Number State | NM
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