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General NPI Number Information
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NPI Number | 1427112473
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Entity Type | Organization
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Legal Business Name | PHYSICIANS MEDICAL CENTER OF SANTA FE, LLC
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Dates
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Enumeration Date | 12/21/2006
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Last Update Date | 07/29/2010
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Provider Practice Location Address
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Address Line | 2990 RODEO PARK DR EAST
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City | SANTA FE
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State | NM
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Zip | 87505-6351
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Country | US
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Telephone | 505-428-5400
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Fax | 505-428-5380
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Provider Business Mailing Address
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Address Line | 2990 RODEO PARK DR EAST
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City | SANTA FE
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State | NM
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Zip | 87505-6351
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Country | US
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Telephone | 505-428-5400
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Fax | 505-428-5380
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | MRS. JULIE WITTWER
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Credential |
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Telephone | 505-428-5400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State |
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