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General NPI Number Information
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NPI Number | 1720688609
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Entity Type | Individual
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Provider Name | LORI RAE NOTOR HUGHES LCSW
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Gender | Female
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Dates
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Enumeration Date | 10/29/2020
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Last Update Date | 08/22/2025
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Provider Practice Location Address
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Address Line | 2120 SULLIVAN AVE #25
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City | FARMINGTON
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State | NM
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Zip | 87401-4324
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Country | US
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Telephone | 505-513-9834
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Fax | 505-325-4323
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Provider Business Mailing Address
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Address Line | 2301 E 20TH ST #5526
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City | FARMINGTON
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State | NM
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Zip | 87499-7185
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Country | US
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Telephone | 505-513-9834
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Fax | 505-325-4323
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CSW.09928856
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License Number State | CO
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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 | SWB-2022-1138
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License Number State | NM
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