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General NPI Number Information
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NPI Number | 1386924744
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Entity Type | Individual
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Provider Name | TAMARA JOY GARDNER CNP, CNM
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Gender | Female
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Dates
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Enumeration Date | 08/17/2011
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Last Update Date | 06/26/2025
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Provider Practice Location Address
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Address Line | 120 ALISO DR SE
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City | ALBUQUERQUE
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State | NM
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Zip | 87108-2693
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Country | US
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Telephone | 505-405-8026
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Fax |
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Provider Business Mailing Address
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Address Line | 120 ALISO DR SE
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City | ALBUQUERQUE
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State | NM
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Zip | 87108-2693
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Country | US
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Telephone | 505-272-1476
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 64907
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 627
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License Number State | NM
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