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General NPI Number Information
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NPI Number | 1972032357
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Entity Type | Organization
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Legal Business Name | KAREN D SCHAEFER PHD PSYCHOLOGICAL SERVICES LLC
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Dates
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Enumeration Date | 06/08/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 741 N ALAMEDA BLVD STE 6
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City | LAS CRUCES
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State | NM
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Zip | 88005-2172
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Country | US
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Telephone | 575-571-9257
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Fax | 575-571-4483
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Provider Business Mailing Address
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Address Line | 741 N ALAMEDA BLVD STE 6
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City | LAS CRUCES
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State | NM
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Zip | 88005-2172
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Country | US
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Telephone | 575-571-9257
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Fax | 575-571-4483
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | KAREN D SCHAEFER
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Credential | PHD
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Telephone | 575-571-9257
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | 543
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 543
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License Number State | NM
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