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General NPI Number Information
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NPI Number | 1386560571
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Entity Type | Individual
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Provider Name | RUBEN MENDOZA
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Gender | Male
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Dates
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Enumeration Date | 06/24/2026
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Last Update Date | 06/24/2026
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Provider Practice Location Address
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Address Line | 6121 INDIAN SCHOOL RD NE STE 240
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City | ALBUQUERQUE
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State | NM
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Zip | 87110-4172
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Country | US
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Telephone | 505-372-0000
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Fax | 844-692-2525
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Provider Business Mailing Address
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Address Line | 6121 INDIAN SCHOOL RD NE STE 240
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City | ALBUQUERQUE
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State | NM
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Zip | 87110-4172
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Country | US
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Telephone | 505-372-0000
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Fax | 844-692-2525
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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 | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | 7319
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License Number State | NM
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