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General NPI Number Information
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NPI Number | 1407766298
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Entity Type | Individual
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Provider Name | JAZMINE ORTIZ-DURAN
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Gender | Female
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Dates
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Enumeration Date | 09/11/2026
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Last Update Date | 09/11/2026
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Provider Practice Location Address
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Address Line | 948 CAMINO DE LA TIERRA
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City | CORRALES
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State | NM
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Zip | 87048-6909
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Country | US
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Telephone | 956-516-0270
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Fax |
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Provider Business Mailing Address
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Address Line | 1385 TIFFANY LN SE
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City | RIO RANCHO
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State | NM
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Zip | 87124-0997
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Country | US
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Telephone | 505-305-9680
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State | NM
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