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General NPI Number Information
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NPI Number | 1962736215
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Entity Type | Individual
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Provider Name | MARGARITA SILVA POTTS L.P.C.C.
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Gender | Female
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Dates
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Enumeration Date | 09/18/2009
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Last Update Date | 02/19/2010
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Provider Practice Location Address
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Address Line | 807 GRANT ST.
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City | BAYARD
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State | NM
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Zip | 88023
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Country | US
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Telephone | 575-590-2202
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1003
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City | BAYARD
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State | NM
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Zip | 88023-1003
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Country | US
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Telephone | 575-590-2202
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Fax |
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 0101621
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 6401002991
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License Number State | MI
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