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General NPI Number Information
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NPI Number | 1427357920
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Entity Type | Organization
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Legal Business Name | BOSQUE WOMENS CARE PC
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Dates
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Enumeration Date | 03/23/2011
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Last Update Date | 12/21/2023
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Provider Practice Location Address
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Address Line | 6801 JEFFERSON ST NE STE 350
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City | ALBUQUERQUE
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State | NM
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Zip | 87109-4361
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Country | US
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Telephone | 505-926-1609
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Fax | 505-847-4945
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Provider Business Mailing Address
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Address Line | 6801 JEFFERSON ST NE STE 350
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City | ALBUQUERQUE
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State | NM
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Zip | 87109-4361
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Country | US
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Telephone | 505-847-4100
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CARRIE D SWARTZ
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Credential |
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Telephone | 505-847-4100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | MD2006-0611
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License Number State | NM
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