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General NPI Number Information
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NPI Number | 1215308218
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Entity Type | Individual
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Provider Name | MALLORI LINN GARINER FNP
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Gender | Female
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Dates
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Enumeration Date | 10/15/2015
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Last Update Date | 03/09/2026
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Provider Practice Location Address
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Address Line | 2431 MAIN ST STE 22B
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City | ALAMOSA
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State | CO
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Zip | 81101-4273
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Country | US
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Telephone | 719-785-2631
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Fax | 719-867-5573
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Provider Business Mailing Address
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Address Line | 2431 MAIN ST STE 22B
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City | ALAMOSA
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State | CO
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Zip | 81101-4273
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Country | US
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Telephone | 719-480-9365
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Fax | 719-867-5573
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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 | APN.0992009-NP
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License Number State | CO
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