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General NPI Number Information
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NPI Number | 1093847451
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Entity Type | Organization
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Legal Business Name | SANTA FE INDIAN HOSPITAL PHARMACY
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Dates
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Enumeration Date | 03/12/2007
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Last Update Date | 07/03/2025
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Provider Practice Location Address
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Address Line | 1700 CERRILLOS RD
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City | SANTA FE
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State | NM
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Zip | 87505-3554
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Country | US
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Telephone | 505-946-9389
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Fax | 505-982-7065
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Provider Business Mailing Address
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Address Line | SANTA FE INDIAN HOSPITAL PO BOX 395446
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City | CLEVELAND
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State | OH
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Zip | 44135
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Country | US
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Telephone | 412-644-7702
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Fax |
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Authorized Official
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Title or Position | ACCOUNTING
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Name | RUSSELL SANDOVAL
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Credential |
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Telephone | 505-988-9821
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332800000X
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Taxonomy Name | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
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License Number |
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License Number State |
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