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General NPI Number Information
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NPI Number | 1164456208
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Entity Type | Individual
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Provider Name | EUNICE BACA PINO CNM
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Gender | Female
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Dates
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Enumeration Date | 07/11/2006
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Last Update Date | 03/13/2025
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Provider Practice Location Address
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Address Line | 101 HOSPITAL LOOP NE STE 105
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City | ALBUQUERQUE
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State | NM
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Zip | 87109-2100
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Country | US
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Telephone | 505-843-6168
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Fax | 505-792-1978
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Provider Business Mailing Address
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Address Line | 6320 RIVERSIDE PLAZA LN NW STE B
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City | ALBUQUERQUE
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State | NM
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Zip | 87120-1710
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Country | US
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Telephone | 505-843-6168
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Fax | 505-247-9743
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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 | 176B00000X
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Taxonomy Name | Midwife
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License Number | 487
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 487
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License Number State | NM
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