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General NPI Number Information
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NPI Number | 1457523656
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Entity Type | Individual
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Provider Name | MAC-ELDER HILAIRE MD
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Gender | Male
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Dates
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Enumeration Date | 03/27/2008
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Last Update Date | 11/23/2025
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Provider Practice Location Address
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Address Line | 1 ABALONE LOOP MESCALERO HOSPITAL
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City | MESCALERO
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State | NM
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Zip | 88340
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Country | US
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Telephone | 575-464-4441
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Fax | 575-464-4422
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Provider Business Mailing Address
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Address Line | 1 ABALONE LOOP MESCALERO HOSPITAL
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City | MESCALERO
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State | NM
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Zip | 88340
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Country | US
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Telephone | 575-464-4441
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Fax | 575-464-4422
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 16729
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 207QA0000X
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Taxonomy Name | Adolescent Medicine (Family Medicine) Physician
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License Number | 16729
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License Number State | PR
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Taxonomy #3
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | 16729
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License Number State | PR
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