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General NPI Number Information
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NPI Number | 1194581736
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Entity Type | Individual
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Provider Name | SARAH HUDSON
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Gender | Female
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Dates
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Enumeration Date | 02/22/2024
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Last Update Date | 01/26/2026
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Provider Practice Location Address
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Address Line | 1415 WEIMER RD
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City | TAOS
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State | NM
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Zip | 87571-6308
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Country | US
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Telephone | 575-776-6785
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Fax |
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Provider Business Mailing Address
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Address Line | 120 CIVIC PLAZA DR
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City | TAOS
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State | NM
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Zip | 87571-6400
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Country | US
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Telephone | 575-737-3719
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 54118
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 163WD1100X
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Taxonomy Name | Peritoneal Dialysis Registered Nurse
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License Number | 54118
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License Number State | NM
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