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General NPI Number Information
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NPI Number | 1427182682
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Entity Type | Organization
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Legal Business Name | NORTHWEST NEW MEXICO WOMEN'S HEALTH SPECIALISTS LLC
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Dates
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Enumeration Date | 03/16/2007
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Last Update Date | 06/27/2011
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Provider Practice Location Address
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Address Line | 610 W PINON ST
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City | FARMINGTON
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State | NM
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Zip | 87401
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Country | US
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Telephone | 505-325-1123
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Fax | 505-325-3054
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Provider Business Mailing Address
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Address Line | 610 W PINON ST
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City | FARMINGTON
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State | NM
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Zip | 87401-6113
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Country | US
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Telephone | 505-325-1123
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Fax | 505-325-3054
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. JONI L HERRERA
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Credential |
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Telephone | 505-325-1123
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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