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General NPI Number Information
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NPI Number | 1285613836
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Entity Type | Organization
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Legal Business Name | SANTA FE INDIAN HOSPITAL
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Dates
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Enumeration Date | 01/12/2006
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Last Update Date | 06/20/2025
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Provider Practice Location Address
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Address Line | 1700 CERRILLOS RD
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City | SANTA FE
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State | NM
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Zip | 87505-3554
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Country | US
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Telephone | 505-988-9821
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Fax | 505-983-6243
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Provider Business Mailing Address
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Address Line | 1700 CERRILLOS RD
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City | SANTA FE
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State | NM
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Zip | 87505-3554
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Country | US
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Telephone | 505-988-9821
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Fax | 505-983-6243
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Authorized Official
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Title or Position | ACCOUNTING
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Name | RUSSELL SANDOVAL
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Credential |
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Telephone | 505-988-9821
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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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 | 261QP0904X
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Taxonomy Name | Federal Public Health Clinic/Center
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License Number |
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License Number State |
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