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General NPI Number Information
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NPI Number | 1316606031
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Entity Type | Individual
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Provider Name | LANCE TRUJILLO PHARM.D., BCPS, PHC
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Gender | Male
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Dates
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Enumeration Date | 12/09/2021
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 530 N TELSHOR BLVD STE C
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City | LAS CRUCES
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State | NM
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Zip | 88011-8243
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Country | US
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Telephone | 575-215-3389
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Fax |
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Provider Business Mailing Address
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Address Line | 298 WALL AVE
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City | LAS CRUCES
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State | NM
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Zip | 88001-7609
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Country | US
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Telephone | 575-636-7787
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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 | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | PC00000534
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License Number State | NM
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Taxonomy #3
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Taxonomy Code | 1835E0208X
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Taxonomy Name | Emergency Medicine Pharmacist
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License Number | RP00008393
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License Number State | NM
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Taxonomy #4
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Taxonomy Code | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | RP00008393
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License Number State | NM
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Taxonomy #5
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Taxonomy Code | 261QM2800X
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Taxonomy Name | Methadone Clinic
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License Number |
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License Number State |
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