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General NPI Number Information
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NPI Number | 1952426553
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Entity Type | Individual
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Provider Name | KIMBERLY MONICA SENA DNP, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 06/16/2022
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Provider Practice Location Address
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Address Line | 700 FRIEDMAN AVE
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City | LAS VEGAS
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State | NM
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Zip | 87701-4231
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Country | US
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Telephone | 505-454-5191
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Fax | 505-454-5148
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Provider Business Mailing Address
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Address Line | PO BOX 74
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City | SERAFINA
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State | NM
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Zip | 87569-0074
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Country | US
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Telephone | 505-454-5191
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Fax | 505-454-5148
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | M-05137
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 67152
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License Number State | NM
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