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General NPI Number Information
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NPI Number | 1790370948
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Entity Type | Individual
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Provider Name | CASSIE K BATIE ROMERO LCSW
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Gender | Female
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Dates
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Enumeration Date | 03/09/2021
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Last Update Date | 03/09/2021
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Provider Practice Location Address
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Address Line | 4012 4TH ST NW
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City | ALBUQUERQUE
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State | NM
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Zip | 87107-3551
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Country | US
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Telephone | 505-923-2403
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Fax |
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Provider Business Mailing Address
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Address Line | 1321 E POPLAR ST
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City | DEMING
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State | NM
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Zip | 88030-4807
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Country | US
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Telephone | 575-546-5951
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Fax | 575-546-5994
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | M-09967
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number | 366097
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License Number State | NM
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Taxonomy #3
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | X-11727
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License Number State | NM
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