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General NPI Number Information
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NPI Number | 1770969016
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Entity Type | Individual
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Provider Name | MIRIAM ALICE PALEY-WILLIAMS
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Gender | Female
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Dates
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Enumeration Date | 08/10/2015
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Last Update Date | 04/20/2024
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Provider Practice Location Address
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Address Line | 150 CENTRAL PARK SQ # 29
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City | LOS ALAMOS
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State | NM
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Zip | 87544-4026
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Country | US
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Telephone | 510-214-6261
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Fax |
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Provider Business Mailing Address
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Address Line | 150 CENTRAL PARK SQ # 29
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City | LOS ALAMOS
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State | NM
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Zip | 87544-4026
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Country | US
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Telephone | 408-355-5248
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | CTB-2024-0041
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License Number State | NM
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