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General NPI Number Information
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NPI Number | 1043160955
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Entity Type | Organization
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Legal Business Name | REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES, INC
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Dates
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Enumeration Date | 01/30/2026
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Last Update Date | 02/25/2026
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Provider Practice Location Address
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Address Line | 1850 E HIGHWAY 66 STE 1
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City | GALLUP
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State | NM
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Zip | 87301-4955
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Country | US
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Telephone | 505-488-2603
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Fax | 505-488-2651
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Provider Business Mailing Address
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Address Line | 1901 RED ROCK DR
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City | GALLUP
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State | NM
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Zip | 87301-5683
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Country | US
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Telephone | 505-863-7309
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Fax |
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Authorized Official
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Title or Position | MEDICAL STAFF
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Name | TIFFANIE LYNCH
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Credential |
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Telephone | 505-863-7309
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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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 | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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