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General NPI Number Information
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NPI Number | 1154094613
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Entity Type | Organization
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Legal Business Name | ENCHANTMENT HEALTHCARE PARTNERS LLC
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Dates
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Enumeration Date | 07/29/2021
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Last Update Date | 09/09/2025
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Provider Practice Location Address
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Address Line | 6100 INDIAN SCHOOL RD NE STE 115
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City | ALBUQUERQUE
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State | NM
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Zip | 87110-4181
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Country | US
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Telephone | 505-881-4500
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Fax | 505-881-5154
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Provider Business Mailing Address
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Address Line | PO BOX 8244
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City | ROSWELL
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State | NM
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Zip | 88202-8244
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Country | US
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Telephone | 505-881-4500
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Fax | 505-881-5158
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Authorized Official
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Title or Position | OWNER
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Name | MS. CHARLOTTE NENGAH NKWENTI
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Credential | CNP
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Telephone | 505-881-4500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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