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General NPI Number Information
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NPI Number | 1104722149
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Entity Type | Organization
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Legal Business Name | NM ADVANCED PRACTICE HEALTHCARE GROUP LLC
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Dates
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Enumeration Date | 10/16/2026
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Last Update Date | 11/07/2026
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Provider Practice Location Address
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Address Line | 2305 CORTINA LOOP SE
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City | RIO RANCHO
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State | NM
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Zip | 87124
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Country | US
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Telephone | 505-977-9174
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Fax |
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Provider Business Mailing Address
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Address Line | 1209 MOUNTAIN ROAD PL NE STE R
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City | ALBUQUERQUE
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State | NM
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Zip | 87110-7825
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER/SOLE MEMBER
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Name | CHRISTOPHER FICHERA
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Credential | AG-ACNP
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Telephone | 505-977-9174
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number |
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License Number State |
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