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General NPI Number Information
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NPI Number | 1568316453
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Entity Type | Individual
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Provider Name | ELVA BURILLO LCSW
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Gender | Female
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Dates
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Enumeration Date | 02/25/2026
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Last Update Date | 03/03/2026
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Provider Practice Location Address
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Address Line | 1400A N WASHINGTON AVE
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City | ROSWELL
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State | NM
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Zip | 88201-8267
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Country | US
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Telephone | 575-910-1440
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 832
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City | ROSWELL
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State | NM
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Zip | 88202-0832
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Country | US
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Telephone |
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Fax |
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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 | SWB-2025-1343
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License Number State | NM
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