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General NPI Number Information
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NPI Number | 1356224216
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Entity Type | Individual
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Provider Name | JOSHUA DAVID TAFOYA
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Gender | Male
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Dates
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Enumeration Date | 07/29/2025
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 255 NM-187
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City | HATCH
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State | NM
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Zip | 87937
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Country | US
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Telephone | 575-267-3088
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Fax | 575-267-3088
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Provider Business Mailing Address
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Address Line | PO BOX 370
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City | HATCH
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State | NM
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Zip | 87937-0370
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Country | US
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Telephone | 575-267-3088
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Fax | 575-267-1747
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 58930
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License Number State | NM
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