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General NPI Number Information
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NPI Number | 1093312480
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Entity Type | Individual
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Provider Name | HERIBERTO FIGUEROA LOPEZ APRN
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Gender | Male
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Dates
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Enumeration Date | 10/08/2020
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 4630 JEFFERSON LN NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87109-2117
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Country | US
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Telephone | 305-282-3784
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Fax |
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Provider Business Mailing Address
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Address Line | 8100 WYOMING BLVD NE SUITE M4 #308
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City | ALBUQUERQUE
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State | NM
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Zip | 87113-2056
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Country | US
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Telephone | 505-633-4141
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Fax | 505-633-4144
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 1113827
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 11009389
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 11009389
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 70185
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License Number State | NM
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Taxonomy #5
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 37334
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License Number State | TN
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Taxonomy #6
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN.CNP.0040638
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License Number State | OH
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Taxonomy #7
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 70185
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License Number State | NM
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