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General NPI Number Information
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NPI Number | 1366326381
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Entity Type | Organization
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Legal Business Name | PSYCHIATRIC AND MENTAL HEALTH COLLABORATIVE OF NEW MEXICO
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Dates
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Enumeration Date | 08/04/2025
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 1502 SAINT FRANCIS DR
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City | SANTA FE
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State | NM
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Zip | 87505-4332
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Country | US
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Telephone | 505-390-6802
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Fax | 505-390-6803
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Provider Business Mailing Address
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Address Line | 5203 JUAN TABO BLVD NE STE 2B
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City | ALBUQUERQUE
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State | NM
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Zip | 87111-2691
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Country | US
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Telephone | 505-390-6802
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Fax | 505-390-6803
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | HILLARY FROEHLICH GERKE
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Credential | PMHNP
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Telephone | 505-390-6802
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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