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General NPI Number Information
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NPI Number | 1710519525
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Entity Type | Organization
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Legal Business Name | C.O.P.E COUNSELING LLC
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Dates
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Enumeration Date | 02/10/2020
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Last Update Date | 02/10/2020
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Provider Practice Location Address
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Address Line | 108 E HIGH ST
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City | GRANTS
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State | NM
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Zip | 87020-2453
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Country | US
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Telephone | 505-658-4322
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Fax | 505-375-2545
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Provider Business Mailing Address
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Address Line | PO BOX 192
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City | NEW LAGUNA
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State | NM
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Zip | 87038-0192
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Country | US
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Telephone |
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Fax | 505-375-2545
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Authorized Official
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Title or Position | OWNER/CLINICIAN
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Name | MS. NICOLE C RAMIREZ
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Credential | LCSW
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Telephone | 505-658-4322
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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