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General NPI Number Information
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NPI Number | 1104714732
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Entity Type | Individual
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Provider Name | JAIME LOUISE DRISCOLL BSN, RN, CLNC
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Gender | Female
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Dates
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Enumeration Date | 06/24/2025
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Last Update Date | 06/25/2025
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Provider Practice Location Address
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Address Line | 239 BOSQUE
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City | ALAMOGORDO
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State | NM
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Zip | 88310-9532
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Country | US
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Telephone | 515-218-4285
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Fax |
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Provider Business Mailing Address
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Address Line | 239 BOSQUE
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City | ALAMOGORDO
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State | NM
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Zip | 88310-9532
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Country | US
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Telephone | 515-218-4285
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Fax |
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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 | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number | 57420
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 163WC1500X
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Taxonomy Name | Community Health Registered Nurse
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License Number | 57420
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License Number State | NM
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Taxonomy #3
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | 57420
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License Number State | NM
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Taxonomy #4
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Taxonomy Code | 173000000X
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Taxonomy Name | Legal Medicine
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License Number | 57420
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License Number State | NM
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Taxonomy #5
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Taxonomy Code | 2080C0008X
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Taxonomy Name | Child Abuse Pediatrics Physician
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License Number | 57420
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License Number State | NM
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Taxonomy #6
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Taxonomy Code | 163WP0200X
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Taxonomy Name | Pediatric Registered Nurse
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License Number | 57420
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License Number State | NM
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Taxonomy #7
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 57420
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License Number State | NM
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Taxonomy #8
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 57420
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License Number State | NM
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