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General NPI Number Information
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NPI Number | 1215194493
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Entity Type | Organization
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Legal Business Name | TOWN OF VAUGHN
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Dates
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Enumeration Date | 05/16/2008
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Last Update Date | 07/18/2022
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Provider Practice Location Address
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Address Line | 322 E. 8TH STREET
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City | VAUGHN
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State | NM
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Zip | 88353
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Country | US
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Telephone | 575-584-2301
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Fax | 575-584-2940
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Provider Business Mailing Address
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Address Line | P.O. BOX 278
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City | VAUGHN
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State | NM
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Zip | 88353
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Country | US
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Telephone | 575-584-2301
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Fax | 575-584-2940
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Authorized Official
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Title or Position | CLERK/TREASURER
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Name | SHALINE LOPEZ
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Credential |
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Telephone | 575-584-2301
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 0311359
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License Number State | NM
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