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General NPI Number Information
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NPI Number | 1144431842
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Entity Type | Organization
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Legal Business Name | MESILLA VALLEY HOSPITAL
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1120 TAMONY LN 1120 TAMONY LANE
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City | LAS CRUCES
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State | NM
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Zip | 88007-6948
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Country | US
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Telephone | 505-496-2282
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Fax |
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Provider Business Mailing Address
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Address Line | 1120 TAMONY LN 1120 TAMONY LANE
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City | LAS CRUCES
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State | NM
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Zip | 88007-6948
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Country | US
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Telephone | 505-496-2282
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Fax |
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Authorized Official
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Title or Position | SOCIAL WORKER
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Name | MRS. PATRICIA V GONZALES
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Credential | SOCIAL WORKER
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Telephone | 505-496-2283
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283Q00000X
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Taxonomy Name | Psychiatric Hospital
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License Number | M-06299
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License Number State | NM
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