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General NPI Number Information
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NPI Number | 1609409028
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Entity Type | Organization
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Legal Business Name | MARGOT M FELDVEBEL LCSW
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Dates
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Enumeration Date | 02/13/2020
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Last Update Date | 09/03/2021
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Provider Practice Location Address
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Address Line | 1003 LUNA CIR NW
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City | ALBUQUERQUE
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State | NM
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Zip | 87102-1973
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Country | US
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Telephone | 505-328-9448
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Fax | 505-340-3764
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Provider Business Mailing Address
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Address Line | 1125 FOREST RD NW
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City | ALAMEDA
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State | NM
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Zip | 87114-1915
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Country | US
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Telephone | 505-328-9448
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Fax | 505-340-3764
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Authorized Official
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Title or Position | CLINICIAN/PRESIDENT
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Name | MARGOT MANDIRA FELDVEBEL
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Credential | LCSW
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Telephone | 505-328-9448
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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 |
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License Number State |
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