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General NPI Number Information
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NPI Number | 1134077050
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Entity Type | Organization
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Legal Business Name | AMADOR HEALTH CENTER
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Dates
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Enumeration Date | 03/17/2026
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Last Update Date | 03/17/2026
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Provider Practice Location Address
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Address Line | 999 W AMADOR AVE
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City | LAS CRUCES
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State | NM
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Zip | 88005-2739
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Country | US
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Telephone | 575-556-9681
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Fax | 575-652-3785
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Provider Business Mailing Address
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Address Line | 999 W AMADOR AVE
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City | LAS CRUCES
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State | NM
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Zip | 88005-2739
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Country | US
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Telephone | 575-556-9681
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Fax | 575-652-3785
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Authorized Official
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Title or Position | COMMUNITY HEALTH WORKER
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Name | JESSICA C RAEL
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Credential |
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Telephone | 575-556-9681
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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