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General NPI Number Information
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NPI Number | 1811358948
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Entity Type | Organization
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Legal Business Name | ABIGAIL CARTER
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Dates
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Enumeration Date | 03/17/2016
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Last Update Date | 03/17/2016
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Provider Practice Location Address
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Address Line | 546 HARKLE ROAD
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City | SANTA FE
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State | NM
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Zip | 87505
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Country | US
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Telephone | 920-202-4427
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Fax |
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Provider Business Mailing Address
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Address Line | 546 HARKLE ROAD
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City | SANTA FE
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State | NM
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Zip | 87505
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Country | US
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Telephone | 920-202-4427
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Fax |
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Authorized Official
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Title or Position | MENTAL HEALTH COUNSELOR
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Name | ABIGAIL CARTER
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Credential | LPCC LPAT ATR-BC
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Telephone | 920-202-4427
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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 | 0176681
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 0178791
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License Number State | NM
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