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General NPI Number Information
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NPI Number | 1053524439
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Entity Type | Organization
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Legal Business Name | NEW MEXICO QUALITY CASE MANAGEMENT
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Dates
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Enumeration Date | 05/08/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 8205 SPAIN RD. NE SUITE 216
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City | ALBUQUERQUE
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State | NM
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Zip | 87109
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Country | US
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Telephone | 505-508-1054
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Fax | 505-503-1941
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Provider Business Mailing Address
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Address Line | P.O. BOX 16194
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City | ALBUQUERQUE
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State | NM
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Zip | 87191
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Country | US
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Telephone | 505-508-1054
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Fax | 505-503-1941
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Authorized Official
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Title or Position | PRESIDENT
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Name | KRISTIN LYNN MARTIN
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Credential | M.A.
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Telephone | 505-508-1054
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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