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General NPI Number Information
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NPI Number | 1790182129
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Entity Type | Individual
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Provider Name | CATIANE KAMAL-ALDEEN
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Gender | Female
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Dates
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Enumeration Date | 12/01/2014
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Last Update Date | 07/19/2022
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Provider Practice Location Address
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Address Line | 1740 GRANDE BLVD SE STE E-13
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City | RIO RANCHO
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State | NM
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Zip | 87124-1799
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Country | US
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Telephone | 505-492-5964
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Fax | 505-441-2662
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Provider Business Mailing Address
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Address Line | PO BOX 93985
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City | ALBUQUERQUE
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State | NM
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Zip | 87199-3985
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Country | US
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Telephone | 505-492-5964
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Fax | 505-441-2662
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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