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General NPI Number Information
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NPI Number | 1710254800
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Entity Type | Individual
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Provider Name | JAMES H DUMESNIL, JR. MS, LPCC
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Gender | Male
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Dates
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Enumeration Date | 11/17/2011
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Last Update Date | 08/22/2014
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Provider Practice Location Address
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Address Line | 208 RANCHITOS RD SUITE B
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City | TAOS
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State | NM
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Zip | 87571-6894
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Country | US
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Telephone | 575-613-2222
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Fax | 575-751-9529
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Provider Business Mailing Address
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Address Line | PO BOX 1274
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City | EL PRADO
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State | NM
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Zip | 87529-1274
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Country | US
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Telephone | 575-613-2222
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Fax | 575-751-9529
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 0114151
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License Number State | NM
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