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General NPI Number Information
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NPI Number | 1275483570
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Entity Type | Individual
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Provider Name | KATHRYN I FEARNSIDE R.N.
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Gender | Female
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Dates
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Enumeration Date | 01/28/2026
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Last Update Date | 01/28/2026
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Provider Practice Location Address
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Address Line | 3301 COORS BLVD NW
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City | ALBUQUERQUE
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State | NM
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Zip | 87120-1292
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Country | US
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Telephone | 505-652-4002
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Fax |
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Provider Business Mailing Address
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Address Line | 1113 BRYN MAWR DR NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87106-2003
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Country | US
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Telephone | 505-331-9184
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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 | 163WC1500X
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Taxonomy Name | Community Health Registered Nurse
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License Number | RN-69482
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 163WP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Registered Nurse
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License Number | RN-69482
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License Number State | NM
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