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General NPI Number Information
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NPI Number | 1437329182
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Entity Type | Organization
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Legal Business Name | NEW MEXICO PRIMARY CARE & MIDWIFERY SERVICES, INC.
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Dates
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Enumeration Date | 03/10/2008
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Last Update Date | 05/20/2008
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Provider Practice Location Address
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Address Line | 1841 HWY 66 SUITE B
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City | EDGEWOOD
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State | NM
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Zip | 87015-9104
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Country | US
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Telephone | 505-286-3100
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Fax | 505-286-3102
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Provider Business Mailing Address
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Address Line | PO BOX 2729
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City | EDGEWOOD
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State | NM
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Zip | 87015-2729
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Country | US
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Telephone | 505-286-3100
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Fax | 505-286-3102
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Authorized Official
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Title or Position | PROVIDER/OWNER
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Name | KAREN C LOVETT
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Credential | CFNP, CNM
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Telephone | 505-286-3100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 462
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R25968
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License Number State | NM
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