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General NPI Number Information
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NPI Number | 1689136418
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Entity Type | Organization
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Legal Business Name | CESAR'S ROOM
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Dates
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Enumeration Date | 04/01/2019
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Last Update Date | 01/15/2025
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Provider Practice Location Address
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Address Line | 2201 BROTHERS RD
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City | SANTA FE
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State | NM
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Zip | 87505-6913
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Country | US
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Telephone | 505-913-0953
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Fax |
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Provider Business Mailing Address
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Address Line | 518 OLD SANTA FE TRL STE 1
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City | SANTA FE
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State | NM
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Zip | 87505-0398
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Country | US
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Telephone | 505-913-0953
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Fax | 505-983-9609
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Authorized Official
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Title or Position | OWNER
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Name | FRANCESCA LOUISE SHRADY
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Credential | LPCC
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Telephone | 505-913-0953
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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 |
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License Number State |
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