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Provider Information for 1598792335


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SHARI COX


Sex: Female

NPI: 1598792335
Last Updated: 2007-07-09
Certification Date:

Details

NameValue
NPI1598792335
Enumeration Date2006-06-27
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 2921 CARLISLE BLVD NE
SUITE 111
ALBUQUERQUE, NM 87110-2865
United States

Phone: | Fax:
 
Primary Practice Address 2921 CARLISLE BLVD NE
SUITE 111
ALBUQUERQUE, NM 87110-2865
United States

Phone: 505-249-5647 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDNM000G6382
Other (non-Medicare)NMI-04829Social Worker
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 1041C0700X - Social Worker - ClinicalNMI-04829