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General NPI Number Information
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NPI Number | 1275111288
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Entity Type | Individual
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Provider Name | ASHWINI KOTKAR METKAR MD MPH
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Gender | Female
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Dates
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Enumeration Date | 03/31/2021
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Last Update Date | 07/22/2025
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Provider Practice Location Address
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Address Line | 1325 WYOMING BLVD NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87112-5046
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Country | US
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Telephone | 505-291-5300
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Fax | 505-291-5365
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Provider Business Mailing Address
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Address Line | PO BOX 26666
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City | ALBUQUERQUE
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State | NM
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Zip | 87125-6666
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Country | US
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Telephone | 505-998-1717
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Fax | 505-998-1710
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD2024-0996
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License Number State | NM
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