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General NPI Number Information
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NPI Number | 1184171670
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Entity Type | Individual
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Provider Name | JESSE STUBBS
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Gender | Male
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Dates
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Enumeration Date | 09/01/2016
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Last Update Date | 07/14/2023
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Provider Practice Location Address
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Address Line | 2211 LOMAS BLVD NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87106-2719
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Country | US
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Telephone | 505-272-6487
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Fax |
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Provider Business Mailing Address
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Address Line | 411 TULANE DR. SE
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City | ALBUQUERQUE
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State | NM
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Zip | 87106
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Country | US
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Telephone | 505-363-2271
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Fax |
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | CNP-03031
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License Number State | NM
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