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General NPI Number Information
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NPI Number | 1760799829
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Entity Type | Organization
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Legal Business Name | ASPECTS TREATMENT & LEARNING CENTER
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Dates
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Enumeration Date | 09/09/2010
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Last Update Date | 09/09/2010
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Provider Practice Location Address
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Address Line | 103 GOLTZ DR
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City | GRANTS
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State | NM
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Zip | 87020-2155
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Country | US
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Telephone | 505-285-3825
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Fax | 866-232-1302
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Provider Business Mailing Address
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Address Line | 103 GOLTZ DR
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City | GRANTS
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State | NM
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Zip | 87020-2155
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | DR. TERESA MEEHAN
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Credential | PH.D.
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Telephone | 505-285-3825
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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