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General NPI Number Information
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NPI Number | 1659643724
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Entity Type | Individual
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Provider Name | VICTOR LENNHOFF LCSW
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Gender | Male
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Dates
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Enumeration Date | 02/03/2012
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Last Update Date | 02/03/2012
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Provider Practice Location Address
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Address Line | 1605 W ALAMEDA ST
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City | SANTA FE
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State | NM
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Zip | 87501-1706
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Country | US
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Telephone | 505-670-0563
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Fax |
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Provider Business Mailing Address
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Address Line | 1605 W ALAMEDA ST
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City | SANTA FE
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State | NM
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Zip | 87501-1706
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Country | US
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Telephone | 505-670-0563
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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 | I-06946
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 42432
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License Number State | TX
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