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General NPI Number Information
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NPI Number | 1972097897
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Entity Type | Organization
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Legal Business Name | IGW CHILDREN'S HOPE FOUNDATION
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Dates
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Enumeration Date | 06/15/2018
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Last Update Date | 03/21/2025
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Provider Practice Location Address
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Address Line | 1503 SCHOFIELD LN
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City | FARMINGTON
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State | NM
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Zip | 87401-7442
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Country | US
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Telephone | 505-787-2143
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1353
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City | FARMINGTON
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State | NM
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Zip | 87499-1353
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DEBORAH JOSLIN
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Credential |
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Telephone | 505-787-2143
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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