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General NPI Number Information
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NPI Number | 1598330631
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Entity Type | Individual
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Provider Name | ROSANNA REYES CAMARENA LCSW
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Gender | Female
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Dates
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Enumeration Date | 05/21/2021
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Last Update Date | 10/16/2024
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Provider Practice Location Address
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Address Line | 1551 MONTANA AVE STE 204
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City | EL PASO
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State | TX
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Zip | 79902-5660
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Country | US
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Telephone | 915-747-3510
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Fax |
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Provider Business Mailing Address
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Address Line | 201 E MAIN DR
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City | EL PASO
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State | TX
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Zip | 79901-1340
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Country | US
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Telephone | 915-887-3410
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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 | 108112
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | M-11834
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License Number State | NM
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Taxonomy #3
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State | NM
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