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General NPI Number Information
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NPI Number | 1902269061
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Entity Type | Organization
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Legal Business Name | ANXIETY TREATMENT CENTER OF THE SOUTHWEST PC
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Dates
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Enumeration Date | 04/05/2016
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Last Update Date | 01/13/2025
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Provider Practice Location Address
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Address Line | 2001 E LOHMAN AVE STE 110-204
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City | LAS CRUCES
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State | NM
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Zip | 88001-3167
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Country | US
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Telephone | 575-405-7992
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Fax |
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Provider Business Mailing Address
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Address Line | 2001 E LOHMAN AVE STE 110-204
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City | LAS CRUCES
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State | NM
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Zip | 88001-3167
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Country | US
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Telephone | 575-405-7992
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SHARON STEINBORN
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Credential | MA
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Telephone | 575-405-7992
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 0104991
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License Number State | NM
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