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General NPI Number Information
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NPI Number | 1326469164
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Entity Type | Individual
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Provider Name | MRS. BRENDA LOUISE KUEHL
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Gender | Female
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Dates
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Enumeration Date | 12/20/2013
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Last Update Date | 12/20/2013
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Provider Practice Location Address
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Address Line | 805 12TH ST BLDG B
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City | ALAMOGORDO
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State | NM
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Zip | 88310-6434
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Country | US
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Telephone | 575-812-5970
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Fax | 575-812-5999
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Provider Business Mailing Address
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Address Line | 1211 HAWAII AVE P O BOX 650
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City | ALAMOGORDO
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State | NM
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Zip | 88310-6437
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Country | US
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Telephone | 575-812-5994
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Fax | 575-812-5999
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 2076
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License Number State | NM
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