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General NPI Number Information
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NPI Number | 1952477390
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Entity Type | Individual
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Provider Name | SHAWN EDWARD ZEIMETZ LMFT
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Gender | Male
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Dates
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Enumeration Date | 11/28/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1710 EL CENTRO FAMILIAR BLVD SW
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City | ALBUQUERQUE
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State | NM
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Zip | 87105-4502
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Country | US
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Telephone | 505-873-1604
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Fax | 505-877-3533
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Provider Business Mailing Address
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Address Line | 8401 SPAIN RD NE APT 20E
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City | ALBUQUERQUE
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State | NM
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Zip | 87111-2013
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Country | US
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Telephone | 505-873-1604
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Fax | 505-877-3533
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 98111
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License Number State | NM
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