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General NPI Number Information
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NPI Number | 1558783506
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Entity Type | Individual
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Provider Name | CONSUELO L MCCASH LMSW
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Gender | Female
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Dates
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Enumeration Date | 01/10/2014
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Last Update Date | 05/09/2024
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Provider Practice Location Address
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Address Line | 2050A 2ND ST SE
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City | KIRTLAND AFB
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State | NM
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Zip | 87117-3408
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Country | US
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Telephone | 505-853-9084
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 10055
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City | ALBUQUERQUE
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State | NM
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Zip | 87184-0055
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Country | US
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Telephone | 505-614-7403
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Fax | 505-212-4342
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | C09490
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | C-09490
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License Number State | NM
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Taxonomy #3
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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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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | M-08378
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License Number State | NM
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