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General NPI Number Information
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NPI Number | 1720769490
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Entity Type | Organization
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Legal Business Name | EQUANIMITY SOLUTIONS, LLC
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Dates
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Enumeration Date | 07/26/2023
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Last Update Date | 07/26/2023
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Provider Practice Location Address
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Address Line | 1405 LUISA ST
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City | SANTA FE
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State | NM
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Zip | 87505-4074
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Country | US
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Telephone | 505-660-3887
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Fax |
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Provider Business Mailing Address
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Address Line | 1476 S SAINT FRANCIS DR
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City | SANTA FE
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State | NM
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Zip | 87505-4038
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JOAN MORALES
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Credential |
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Telephone | 505-660-3887
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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 |
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License Number State |
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