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General NPI Number Information
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NPI Number | 1740834795
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Entity Type | Individual
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Provider Name | ROSA E MUNOZ PHD
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Gender | Female
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Dates
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Enumeration Date | 07/29/2019
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Last Update Date | 04/15/2025
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Provider Practice Location Address
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Address Line | 231 SIERRA DR SE STE 2
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City | ALBUQUERQUE
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State | NM
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Zip | 87108-5633
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Country | US
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Telephone | 575-737-8717
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Fax |
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Provider Business Mailing Address
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Address Line | 301 UNSER BLVD NW
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City | ALBUQUERQUE
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State | NM
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Zip | 87121-1927
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Country | US
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Telephone | 505-925-4126
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY1565
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License Number State | NM
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