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General NPI Number Information
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NPI Number | 1356985170
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Entity Type | Individual
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Provider Name | CLAUDIA ELIZABETH ENRIQUEZ
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Gender | Female
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Dates
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Enumeration Date | 11/05/2019
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Last Update Date | 01/28/2026
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Provider Practice Location Address
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Address Line | 1200 N WHITE SANDS BLVD STE 110
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City | ALAMOGORDO
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State | NM
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Zip | 88310-6774
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Country | US
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Telephone | 575-488-0030
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Fax | 575-488-0032
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Provider Business Mailing Address
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Address Line | 74 FORSYTH RD
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City | ALAMOGORDO
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State | NM
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Zip | 88310-9656
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Country | US
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Telephone | 575-405-9453
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 58290
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State | NM
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 58290
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License Number State | NM
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