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General NPI Number Information
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NPI Number | 1578800934
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Entity Type | Organization
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Legal Business Name | HELENA E. KINTONIS, LLC
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Dates
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Enumeration Date | 01/04/2013
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Last Update Date | 02/13/2013
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Provider Practice Location Address
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Address Line | 1700 N UNION AVE
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City | ROSWELL
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State | NM
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Zip | 88201-3267
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Country | US
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Telephone | 575-637-0020
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Fax | 575-624-7981
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Provider Business Mailing Address
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Address Line | PO BOX 2775
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City | ROSWELL
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State | NM
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Zip | 88202-2775
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Country | US
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Telephone | 575-637-0020
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Fax | 575-624-7981
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Authorized Official
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Title or Position | PROFESSIONAL COUNSELOR
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Name | MS. HELEN KINTONIS
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Credential | LPCC
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Telephone | 575-637-0020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 0143171
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License Number State | NM
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