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General NPI Number Information
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NPI Number | 1699320895
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Entity Type | Individual
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Provider Name | KIMBERLY MEJIA RIOS LMFT
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Gender | Female
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Dates
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Enumeration Date | 08/05/2019
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Last Update Date | 03/05/2025
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Provider Practice Location Address
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Address Line | 755 S TELSHOR BLVD STE 102
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City | LAS CRUCES
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State | NM
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Zip | 88011-4688
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Country | US
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Telephone | 575-888-4666
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Fax |
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Provider Business Mailing Address
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Address Line | 4708 RUBICON RD
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City | LAS CRUCES
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State | NM
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Zip | 88012-0852
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Country | US
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Telephone | 575-694-0122
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | CTB-2022-0091
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License Number State | NM
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