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General NPI Number Information
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NPI Number | 1114052727
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Entity Type | Individual
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Provider Name | KAYE SCANLON ADMIRE MSN, RNCS
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Gender | Female
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Dates
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Enumeration Date | 02/22/2007
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Last Update Date | 07/08/2010
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Provider Practice Location Address
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Address Line | 5142 GOLONDRINA NW
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City | ALBUQUERQUE
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State | NM
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Zip | 87120-2036
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Country | US
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Telephone | 505-898-8182
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Fax | 505-792-3715
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Provider Business Mailing Address
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Address Line | 5142 GOLONDRINA NW
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City | ALBUQUERQUE
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State | NM
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Zip | 87120-2036
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Country | US
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Telephone | 505-898-8182
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Fax | 505-792-3715
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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 | 163WP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Registered Nurse
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License Number | R23668
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 364SP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Clinical Nurse Specialist
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License Number | R23668
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License Number State | NM
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Taxonomy #3
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Taxonomy Code | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number | R23668
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License Number State | NM
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