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General NPI Number Information
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NPI Number | 1447464664
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Entity Type | Organization
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Legal Business Name | UNM HOSPITAL
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Dates
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Enumeration Date | 05/09/2007
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Last Update Date | 07/09/2024
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Provider Practice Location Address
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Address Line | 2600 MARBLE AVE., N.E.
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City | ALBUQUERQUE
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State | NM
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Zip | 87106-2058
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Country | US
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Telephone | 505-272-2861
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Fax | 505-272-2016
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Provider Business Mailing Address
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Address Line | 400 TIJERAS AVE NW STE 450
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City | ALBUQUERQUE
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State | NM
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Zip | 87102-3273
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Country | US
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Telephone | 505-272-4275
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Fax | 505-272-9991
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | BONNIE MARIE WHITE
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Credential |
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Telephone | 505-272-1840
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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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 | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM2800X
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Taxonomy Name | Methadone Clinic
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License Number | NM-10004-M
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License Number State | NM
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Taxonomy #4
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Taxonomy Code | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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License Number | 6005
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License Number State | NM
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