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General NPI Number Information
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NPI Number | 1760604722
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Entity Type | Individual
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Provider Name | JANICE L SPRATTE LMHC
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Gender | Female
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Dates
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Enumeration Date | 05/02/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2520 VIRGINIA ST NE SUITE 200
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City | ALBUQUERQUE
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State | NM
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Zip | 87110-4689
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Country | US
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Telephone | 505-296-4449
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Fax | 505-296-0497
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Provider Business Mailing Address
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Address Line | 1769 16TH AVE SE
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City | RIO RANCHO
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State | NM
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Zip | 87124-3570
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Country | US
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Telephone | 505-892-0220
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 006057
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License Number State | NM
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