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General NPI Number Information
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NPI Number | 1447355458
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Entity Type | Organization
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Legal Business Name | CENTER FOR REPRODUCTIVE MEDICINE OF NEW MEXICO
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Dates
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Enumeration Date | 09/14/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 201 CEDAR SE SUITE SI-20
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City | ALBUQUERQUE
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State | NM
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Zip | 87106-4900
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Country | US
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Telephone | 505-224-7474
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Fax | 505-224-7476
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Provider Business Mailing Address
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Address Line | 201 CEDAR SE SUITE SI-20
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City | ALBUQUERQUE
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State | NM
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Zip | 87106-4900
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Country | US
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Telephone | 505-224-7474
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Fax | 505-224-7476
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Authorized Official
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Title or Position | PRESIDENT / OWNER
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Name | DOUGLAS JAMES THOMPSON
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Credential | MD
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Telephone | 505-224-7474
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VE0102X
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Taxonomy Name | Reproductive Endocrinology Physician
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License Number |
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License Number State |
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Taxonomy #2
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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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