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General NPI Number Information
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NPI Number | 1417867037
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Entity Type | Individual
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Provider Name | JUDY GUTIERREZ SARABIA
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Gender | Female
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Dates
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Enumeration Date | 09/08/2026
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Last Update Date | 09/08/2026
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Provider Practice Location Address
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Address Line | 107 SUNSET LOOP
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City | MESCALERO
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State | NM
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Zip | 88340
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Country | US
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Telephone | 575-464-4432
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Fax | 575-464-4331
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Provider Business Mailing Address
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Address Line | PO BOX 63
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City | RUIDOSO
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State | NM
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Zip | 88355-0063
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Country | US
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Telephone |
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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 | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number | S1-2139
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License Number State | NM
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