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General NPI Number Information
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NPI Number | 1720427305
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Entity Type | Organization
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Legal Business Name | AURORA COUNSELING & MENTAL HEALTH SERVICES LLC
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Dates
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Enumeration Date | 06/17/2013
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Last Update Date | 06/17/2013
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Provider Practice Location Address
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Address Line | 1233 STUTZ DR NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87112-6232
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Country | US
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Telephone | 505-504-6697
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Fax |
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Provider Business Mailing Address
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Address Line | 1233 STUTZ DR NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87112-6232
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Country | US
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Telephone | 505-504-6697
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Fax |
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Authorized Official
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Title or Position | CLINICAL SOCIAL WORKER/OWNER
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Name | MS. KATHRYN POPE COCHRAN
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Credential | LISW
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Telephone | 505-573-2024
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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 | I-06342
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License Number State | NM
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