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General NPI Number Information
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NPI Number | 1306492806
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Entity Type | Individual
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Provider Name | ADRIANA WHITE RN
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Gender | Female
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Dates
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Enumeration Date | 08/12/2019
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Last Update Date | 04/01/2026
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Provider Practice Location Address
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Address Line | 3949 CORRALES RD STE 105
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City | CORRALES
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State | NM
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Zip | 87048-9347
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Country | US
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Telephone | 949-820-1743
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Fax |
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Provider Business Mailing Address
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Address Line | 261 LITTLER DR SE
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City | RIO RANCHO
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State | NM
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Zip | 87124-4102
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Country | US
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Telephone | 505-506-2535
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 88646
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 163WS0200X
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Taxonomy Name | School Registered Nurse
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License Number | RN-72590
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License Number State | NM
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