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General NPI Number Information
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NPI Number | 1649668021
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Entity Type | Individual
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Provider Name | AUDRA MARKINS LAMFT
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Gender | Female
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Dates
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Enumeration Date | 01/07/2015
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Last Update Date | 04/04/2022
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Provider Practice Location Address
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Address Line | 1400 SUDDERTH DR
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City | RUIDOSO
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State | NM
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Zip | 88345-6103
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Country | US
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Telephone | 209-922-2431
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Fax |
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Provider Business Mailing Address
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Address Line | 113 SKYLANE RD
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City | RUIDOSO
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State | NM
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Zip | 88345-7267
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Country | US
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Telephone | 209-922-2431
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | CAMF0220901
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License Number State | NM
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