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General NPI Number Information
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NPI Number | 1316317639
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Entity Type | Organization
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Legal Business Name | NEW MEXICO FOUNDATION FOR INDIVIDUALS WITH DISABILITIES
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Dates
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Enumeration Date | 09/29/2015
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Last Update Date | 09/29/2015
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Provider Practice Location Address
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Address Line | 1270 MIRADOR LOOP NE
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City | RIO RANCHO
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State | NM
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Zip | 87144-5326
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Country | US
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Telephone | 505-850-2706
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Fax |
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Provider Business Mailing Address
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Address Line | 1270 MIRADOR LOOP NE
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City | RIO RANCHO
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State | NM
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Zip | 87144-5326
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Country | US
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Telephone | 505-850-2706
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Fax |
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Authorized Official
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Title or Position | CHAIR
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Name | CLAUDIA CLAY
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Credential | FOUNDER
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Telephone | 505-850-2706
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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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 | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM3000X
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Taxonomy Name | Medically Fragile Infants and Children Day Care
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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License Number State |
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