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General NPI Number Information
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NPI Number | 1306025051
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Entity Type | Organization
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Legal Business Name | HEIGHTS FAMILY MEDICINE ASSOCIATES PA
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Dates
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Enumeration Date | 10/30/2007
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Last Update Date | 05/03/2013
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Provider Practice Location Address
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Address Line | 10421 MONTGOMERY PKWY NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87111-3864
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Country | US
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Telephone | 505-298-5444
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Fax | 505-298-0037
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Provider Business Mailing Address
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Address Line | 10421 MONTGOMERY PKWY NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87111-3864
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Country | US
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Telephone | 505-298-5444
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Fax | 505-298-0037
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. FRAN P. AYERS
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Credential |
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Telephone | 505-298-5444
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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 | A75482
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License Number State | NM
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