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General NPI Number Information
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NPI Number | 1780060483
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Entity Type | Organization
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Legal Business Name | AFFIRMATIONS MENTAL HEALTH SERVICES
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Dates
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Enumeration Date | 08/04/2015
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Last Update Date | 08/04/2015
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Provider Practice Location Address
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Address Line | 1400 BARBARA LOOP SE
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City | RIO RANCHO
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State | NM
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Zip | 87124-1088
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Country | US
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Telephone | 505-994-1122
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Fax | 505-944-9698
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Provider Business Mailing Address
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Address Line | 1400 BARBARA LOOP SE
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City | RIO RANCHO
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State | NM
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Zip | 87124-1088
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Country | US
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Telephone | 505-994-1122
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Fax | 505-944-9698
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Authorized Official
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Title or Position | COUNSELOR/THERAPIST
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Name | DR. JEROME LLOYD SATHER
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Credential | LPCC
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Telephone | 505-994-1122
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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 | 0094671
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License Number State | NM
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