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General NPI Number Information
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NPI Number | 1144029943
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Entity Type | Organization
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Legal Business Name | ACCESS TO COMMUNITY RESOURCES LLC
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Dates
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Enumeration Date | 03/12/2025
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Last Update Date | 03/12/2025
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Provider Practice Location Address
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Address Line | 700 EUBANK BLVD SE APT 728
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City | ALBUQUERQUE
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State | NM
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Zip | 87123-1972
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Country | US
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Telephone | 786-853-4584
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3452
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City | ALBUQUERQUE
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State | NM
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Zip | 87190-3452
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Country | US
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Telephone | 786-853-4584
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Fax |
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Authorized Official
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Title or Position | CHW- OWNER
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Name | MARITZA RUNK
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Credential |
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Telephone | 786-853-4584
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174200000X
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Taxonomy Name | Meals Provider
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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