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General NPI Number Information
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NPI Number | 1396973038
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Entity Type | Organization
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Legal Business Name | UNM CHILDREN'S PSYCHIATRIC CENTER
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Dates
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Enumeration Date | 07/01/2009
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Last Update Date | 09/01/2009
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Provider Practice Location Address
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Address Line | 2600 MARBLE AVE NE BLDG 2
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City | ALBUQUERQUE
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State | NM
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Zip | 87106-2058
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Country | US
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Telephone | 505-272-8526
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Fax | 505-272-3466
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Provider Business Mailing Address
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Address Line | 2600 MARBLE AVE NE BLDG 2
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City | ALBUQUERQUE
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State | NM
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Zip | 87106-2058
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Country | US
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Telephone | 505-272-8526
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Fax | 505-272-3466
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Authorized Official
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Title or Position | CSW
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Name | MS. SARA HURTADO
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Credential |
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Telephone | 505-620-2040
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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