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General NPI Number Information
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NPI Number | 1972000172
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Entity Type | Individual
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Provider Name | TARA ELIZABETH ZANGHI LPCC
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Gender | Female
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Dates
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Enumeration Date | 04/12/2018
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Last Update Date | 11/05/2023
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Provider Practice Location Address
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Address Line | 1502 S SAINT FRANCIS DR
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City | SANTA FE
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State | NM
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Zip | 87505-4040
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Country | US
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Telephone | 505-310-8233
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Fax |
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Provider Business Mailing Address
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Address Line | 1716 ARTISTIC LN UNIT A
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City | SANTA FE
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State | NM
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Zip | 87505-2203
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Country | US
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Telephone | 505-310-8233
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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 | CTB-2023-0547
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License Number State | NM
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