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General NPI Number Information
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NPI Number | 1720886740
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Entity Type | Individual
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Provider Name | MICHELLE FOSTER LMSW
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Gender | Female
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Dates
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Enumeration Date | 03/05/2025
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Last Update Date | 03/05/2025
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Provider Practice Location Address
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Address Line | 1620 E PINE ST
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City | SILVER CITY
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State | NM
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Zip | 88061-7155
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Country | US
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Telephone | 575-590-6197
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Fax | 575-590-6079
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Provider Business Mailing Address
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Address Line | PO BOX 325
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City | SILVER CITY
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State | NM
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Zip | 88062-0325
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Country | US
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Telephone | 575-956-6131
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Fax | 575-956-6947
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | SWB-2025-0183
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License Number State | NM
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