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NPI 1225965130

NPI 1225965130 : VICTORIA NARVAIZ CCHW : SANTA FE, NM

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General NPI Number Information
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    NPI Number           |    1225965130
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    Entity Type          |    Individual 
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    Provider Name        |    VICTORIA NARVAIZ CCHW
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/05/2026
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    Last Update Date     |    05/05/2026
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Provider Practice Location Address
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    Address Line         |    901 W ALAMEDA ST 
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    City                 |    SANTA FE
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    State                |    NM
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    Zip                  |    87501-1681
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    Country              |    US
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    Telephone            |    505-955-9454
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    Fax                  |    505-982-6298
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Provider Business Mailing Address
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    Address Line         |    1691 GALISTEO ST STE D 
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    City                 |    SANTA FE
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    State                |    NM
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    Zip                  |    87505-4781
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    Country              |    US
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    Telephone            |    505-955-9454
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    Fax                  |    505-982-6298
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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        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    1871602698
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    License Number State |    NM
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