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General NPI Number Information
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NPI Number | 1881994333
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Entity Type | Organization
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Legal Business Name | CLAIRE SAKS
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Dates
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Enumeration Date | 11/01/2010
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Last Update Date | 11/12/2024
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Provider Practice Location Address
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Address Line | 501 FRANKLIN AVE STE 5
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City | SANTA FE
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State | NM
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Zip | 87501-3617
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Country | US
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Telephone | 505-690-7372
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 5787
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City | SANTA FE
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State | NM
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Zip | 87502-5787
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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 | DIRECTOR
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Name | CLAIRE SAKS
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Credential | LPCC
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Telephone | 505-690-7372
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 171WH0202X
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Taxonomy Name | Home Modifications Contractor
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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