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General NPI Number Information
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NPI Number | 1225823255
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Entity Type | Individual
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Provider Name | KAMI OLGUIN NP
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Gender | Female
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Dates
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Enumeration Date | 04/10/2025
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Last Update Date | 04/17/2025
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Provider Practice Location Address
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Address Line | 4337 E MAIN ST STE 202
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City | FARMINGTON
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State | NM
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Zip | 87402-8634
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Country | US
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Telephone | 505-326-1623
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Fax |
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Provider Business Mailing Address
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Address Line | 2 ROAD 3215
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City | AZTEC
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State | NM
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Zip | 87410-2440
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Country | US
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Telephone | 505-486-6979
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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 | 83575
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License Number State | NM
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