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General NPI Number Information
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NPI Number | 1265391999
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Entity Type | Organization
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Legal Business Name | AMDON INNOVATIONS LTD
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Dates
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Enumeration Date | 01/19/2026
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Last Update Date | 02/06/2026
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Provider Practice Location Address
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Address Line | 4305 WINDSOR DR
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City | FARMINGTON
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State | NM
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Zip | 87402-4764
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Country | US
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Telephone | 505-446-4417
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Fax |
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Provider Business Mailing Address
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Address Line | 4305 WINDSOR DR
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City | FARMINGTON
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State | NM
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Zip | 87402-4764
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Country | US
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Telephone | 505-446-4417
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | AMBER HODGES
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Credential | RN
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Telephone | 505-716-1372
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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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 | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 171W00000X
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Taxonomy Name | Contractor
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License Number |
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License Number State |
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