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General NPI Number Information
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NPI Number | 1639504442
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Entity Type | Individual
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Provider Name | ROWEN O'NEILL LPCC
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Gender | Female
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Dates
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Enumeration Date | 09/11/2013
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Last Update Date | 08/30/2018
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Provider Practice Location Address
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Address Line | 2741 INDIAN SCHOOL RD NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87106-2653
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Country | US
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Telephone | 505-750-8866
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Fax |
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Provider Business Mailing Address
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Address Line | 601 LOVEJOY RD SW
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City | ALBUQUERQUE
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State | NM
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Zip | 87105-3849
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Country | US
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Telephone | 360-842-7632
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | CCMH0199011
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License Number State | NM
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