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General NPI Number Information
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NPI Number | 1679691950
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Entity Type | Individual
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Provider Name | HAZEL JEAN RIGGS LISW
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Gender | Female
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1330 SAN PEDRO DR NE #201-B
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City | ALBUQUERQUE
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State | NM
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Zip | 87110-6744
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Country | US
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Telephone | 505-260-9912
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Fax | 505-260-9934
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Provider Business Mailing Address
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Address Line | 6117 PARKTREE PL NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87111-7202
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Country | US
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Telephone | 505-822-1622
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Fax | 505-260-9934
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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-06181
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License Number State | NM
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