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General NPI Number Information
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NPI Number | 1114099124
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Entity Type | Individual
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Provider Name | NANCY CAROL LEHRHAUPT CNP
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Gender | Female
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Dates
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Enumeration Date | 11/14/2006
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Last Update Date | 02/01/2016
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Provider Practice Location Address
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Address Line | 4 DUENDE RD
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City | SANTA FE
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State | NM
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Zip | 87508-2247
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Country | US
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Telephone | 505-660-4399
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Fax | 505-986-8028
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Provider Business Mailing Address
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Address Line | PO BOX 24304
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City | SANTA FE
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State | NM
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Zip | 87502
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Country | US
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Telephone | 505-660-4399
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Fax | 505-986-8028
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | R42279
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | CNP00969
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License Number State | NM
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