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General NPI Number Information
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NPI Number | 1073426748
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Entity Type | Organization
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Legal Business Name | DEVEREUX NEW MEXICO FOSTER CARE CHILD PLACING AGENCY
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Dates
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Enumeration Date | 09/24/2026
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Last Update Date | 09/24/2026
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Provider Practice Location Address
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Address Line | 2340 ALAMO AVE SE STE 300
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City | ALBUQUERQUE
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State | NM
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Zip | 87106-3523
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Country | US
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Telephone | 602-708-0240
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Fax |
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Provider Business Mailing Address
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Address Line | 6141 E GRANT RD BLDG A
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City | TUCSON
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State | AZ
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Zip | 85712-5829
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | YVETTE JACKSON
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Credential |
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Telephone | 520-576-5765
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253J00000X
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Taxonomy Name | Foster Care Agency
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License Number |
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License Number State |
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