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General NPI Number Information
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NPI Number | 1093903320
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Entity Type | Organization
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Legal Business Name | NEXUS HEALTH PRIMARY CARE LLC
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Dates
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Enumeration Date | 10/11/2007
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Last Update Date | 05/27/2025
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Provider Practice Location Address
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Address Line | 4200 BECKNER RD
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City | SANTA FE
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State | NM
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Zip | 87507-3774
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Country | US
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Telephone | 505-395-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 400 N STEPHANIE ST STE 300
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City | HENDERSON
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State | NV
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Zip | 89014-6692
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Country | US
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Telephone | 505-395-3003
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Fax | 505-983-7571
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Authorized Official
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Title or Position | CREDENTIALING AND MANAGED CARE COOR
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Name | LESLIE A TORO
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Credential |
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Telephone | 720-213-9455
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 2251G0304X
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Taxonomy Name | Geriatric Physical Therapist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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