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General NPI Number Information
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NPI Number | 1669286043
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Entity Type | Organization
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Legal Business Name | COVERT MERCY INCORPORATED
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Dates
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Enumeration Date | 02/05/2025
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Last Update Date | 02/05/2025
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Provider Practice Location Address
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Address Line | 316 OSUNA RD NE BLDG 2
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City | ALBUQUERQUE
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State | NM
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Zip | 87107-5950
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Country | US
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Telephone | 505-306-0395
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Fax |
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Provider Business Mailing Address
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Address Line | 7220 MINUTEMAN DR NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87109-5079
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Country | US
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Telephone | 505-306-0395
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Fax |
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Authorized Official
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Title or Position | DIRECTOR COUNSELOR
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Name | MR. JOHN HOWARD THURMAN JR.
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Credential | LCMHC
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Telephone | 505-306-0395
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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