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General NPI Number Information
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NPI Number | 1619092285
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Entity Type | Organization
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Legal Business Name | CHILDREN IN NEED OF SERVICES
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 05/21/2009
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Provider Practice Location Address
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Address Line | 501 24TH ST
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City | ALAMOGORDO
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State | NM
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Zip | 88310-6103
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Country | US
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Telephone | 505-434-3011
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Fax | 505-434-9588
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Provider Business Mailing Address
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Address Line | 501 24TH ST
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City | ALAMOGORDO
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State | NM
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Zip | 88310-6103
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Country | US
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Telephone | 505-434-3011
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Fax | 505-434-9588
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. GLENDA WILDER
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Credential |
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Telephone | 505-434-3011
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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