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General NPI Number Information
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NPI Number | 1093646978
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Entity Type | Organization
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Legal Business Name | BUTTERFLY TRANSITION SERVICES
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Dates
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Enumeration Date | 05/28/2026
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Last Update Date | 05/28/2026
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Provider Practice Location Address
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Address Line | 11A PRIVATE DRIVE 1525
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City | HERNANDEZ
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State | NM
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Zip | 87537-9711
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Country | US
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Telephone | 505-279-1801
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Fax | 505-638-8999
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Provider Business Mailing Address
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Address Line | PO BOX 111
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City | ESPANOLA
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State | NM
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Zip | 87532-0111
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Country | US
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Telephone | 505-279-1801
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Fax | 505-638-8999
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Authorized Official
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Title or Position | PMHNP
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Name | MARGARET MARY TRIVINO
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Credential | NP
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Telephone | 505-279-1801
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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