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General NPI Number Information
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NPI Number | 1881272649
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Entity Type | Organization
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Legal Business Name | INTEGRATED ENERGIES LLC
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Dates
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Enumeration Date | 03/31/2021
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Last Update Date | 04/02/2021
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Provider Practice Location Address
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Address Line | 3000 TRINITY DR APT 59
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City | LOS ALAMOS
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State | NM
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Zip | 87544-2340
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Country | US
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Telephone | 505-412-9834
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Fax |
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Provider Business Mailing Address
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Address Line | 3000 TRINITY DR APT 59
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City | LOS ALAMOS
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State | NM
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Zip | 87544-2340
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Country | US
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Telephone | 505-412-9834
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Fax |
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Authorized Official
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Title or Position | CEO/FOUNDER
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Name | MS. TEISHA K CALDWELL
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Credential | M.ED., NCC, LPCC
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Telephone | 505-412-9834
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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