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General NPI Number Information
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NPI Number | 1710148036
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Entity Type | Individual
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Provider Name | STEVE DANIEL MEAGHER LISW
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Gender | Male
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Dates
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Enumeration Date | 06/19/2008
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Last Update Date | 07/09/2014
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Provider Practice Location Address
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Address Line | 502 W BONBRIGHT ST
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City | CARLSBAD
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State | NM
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Zip | 88220-5046
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Country | US
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Telephone | 575-725-5735
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Fax | 575-725-5735
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Provider Business Mailing Address
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Address Line | 917 N MAIN ST
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City | CARLSBAD
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State | NM
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Zip | 88220-6356
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Country | US
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Telephone | 575-725-5735
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Fax | 575-956-9201
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | X-06212
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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 | I-07388
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License Number State | NM
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