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General NPI Number Information
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NPI Number | 1225840770
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Entity Type | Individual
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Provider Name | CAROLYNE SEWELL RN
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Gender | Female
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Dates
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Enumeration Date | 01/22/2025
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Last Update Date | 01/22/2025
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Provider Practice Location Address
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Address Line | 1501 SAN PEDRO DR SE BLDG 47
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City | ALBUQUERQUE
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State | NM
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Zip | 87108-5153
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Country | US
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Telephone | 505-846-1723
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Fax |
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Provider Business Mailing Address
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Address Line | 81 ARIZONA SUNSET RD NE
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City | RIO RANCHO
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State | NM
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Zip | 87124-2538
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Country | US
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Telephone | 516-263-2871
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN-81366
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number | RN-81366
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License Number State | NM
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