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General NPI Number Information
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NPI Number | 1760255004
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Entity Type | Individual
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Provider Name | LAUREN FRANCES BRINCH LMSW
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Gender | Female
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Dates
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Enumeration Date | 10/30/2023
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Last Update Date | 10/30/2023
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Provider Practice Location Address
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Address Line | 901 W HICKORY ST
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City | DEMING
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State | NM
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Zip | 88030-4046
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Country | US
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Telephone | 575-546-2174
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Fax | 575-544-4821
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Provider Business Mailing Address
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Address Line | 901 W HICKORY ST
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City | DEMING
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State | NM
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Zip | 88030-4046
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Country | US
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Telephone | 575-546-2174
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Fax | 575-544-4821
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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-2023-1153
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 111446
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License Number State | TX
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