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“General Practice Physician” (Edgewood, NM)

Location: Edgewood, NM
Taxonomy: General Practice Physician.

A provider can have more than one taxonomy code. It is critical to register all applicable taxonomy codes with NPPES and to use the correct taxonomy code to represent the specific specialty when filing claims. This will assist in more accurate and timely processing of claims.
1104182328 — CARLA RUDOLPH DO
Practice Location Address:
1851 OLD US 66
EDGEWOOD NM
87015-7200
Practice Phone: 505-286-2396

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