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General NPI Number Information
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NPI Number | 1225880065
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Entity Type | Organization
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Legal Business Name | NEW MEXICO REENTRY CENTER
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Dates
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Enumeration Date | 04/04/2024
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 215 3RD ST SW
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City | ALBUQUERQUE
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State | NM
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Zip | 87102-3311
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Country | US
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Telephone | 505-589-0808
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Fax |
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Provider Business Mailing Address
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Address Line | 215 3RD ST SW
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City | ALBUQUERQUE
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State | NM
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Zip | 87102-3311
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Country | US
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Telephone | 505-589-0808
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | NATASHA GARCIA
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Credential |
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Telephone | 505-589-0808
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174200000X
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Taxonomy Name | Meals Provider
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 177F00000X
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Taxonomy Name | Lodging Provider
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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