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General NPI Number Information
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NPI Number | 1881053023
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Entity Type | Organization
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Legal Business Name | EMPOWER THERAPY GROUP
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Dates
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Enumeration Date | 02/16/2016
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Last Update Date | 02/16/2016
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Provider Practice Location Address
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Address Line | 301 GRACELAND DR SE SUITE C
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City | ALBUQUERQUE
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State | NM
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Zip | 87108-2778
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Country | US
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Telephone | 505-750-2648
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 70113
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City | ALBUQUERQUE
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State | NM
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Zip | 87197-0113
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KAREE POWERS
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Credential | LCSW
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Telephone | 505-750-2648
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | C07191
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License Number State | NM
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