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General NPI Number Information
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NPI Number | 1356490924
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Entity Type | Organization
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Legal Business Name | NEW MEXICO CPM INC
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Dates
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Enumeration Date | 01/10/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1524 EUBANK BLVD NE SUITE 1
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City | ALBUQUERQUE
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State | NM
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Zip | 87112-4166
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Country | US
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Telephone | 505-292-2508
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Fax | 505-292-2509
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Provider Business Mailing Address
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Address Line | 1524 EUBANK BLVD NE SUITE 1
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City | ALBUQUERQUE
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State | NM
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Zip | 87112-4160
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Country | US
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Telephone | 505-292-2508
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Fax | 505-292-2509
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. ANDREA MULFORD
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Credential |
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Telephone | 505-292-2508
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State | NM
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