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General NPI Number Information
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NPI Number | 1982935938
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Entity Type | Individual
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Provider Name | CHERI L. BRINKMAN LISW
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Gender | Female
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Dates
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Enumeration Date | 01/14/2010
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Last Update Date | 01/14/2010
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Provider Practice Location Address
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Address Line | 1001 YALE BLVD NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87106-3825
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Country | US
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Telephone | 505-272-0053
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Fax |
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Provider Business Mailing Address
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Address Line | 6116 ROMA AVE NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87108-1840
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Country | US
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Telephone | 505-268-6986
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | I-4215
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License Number State | NM
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