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General NPI Number Information
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NPI Number | 1740338268
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Entity Type | Individual
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Provider Name | JUANA NEVAREZ LCSW
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Gender | Female
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Dates
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Enumeration Date | 01/08/2007
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Last Update Date | 06/27/2023
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Provider Practice Location Address
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Address Line | 461 BLUE SAGE AVE SW
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City | LOS LUNAS
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State | NM
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Zip | 87031-6643
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Country | US
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Telephone | 505-515-7980
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Fax |
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Provider Business Mailing Address
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Address Line | 461 BLUE SAGE AVE SW
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City | LOS LUNAS
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State | NM
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Zip | 87031-6643
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Country | US
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Telephone | 505-515-7980
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Fax |
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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 | M-05683
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number | M05683
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License Number State | NM
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Taxonomy #3
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Taxonomy Code | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number | C-09631
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License Number State | NM
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | C-09631
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License Number State | NM
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