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General NPI Number Information
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NPI Number | 1487188785
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Entity Type | Organization
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Legal Business Name | BOARD OF COMMISSIONERS CITY OF LAS CRUCES
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Dates
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Enumeration Date | 04/13/2017
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Last Update Date | 08/16/2022
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Provider Practice Location Address
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Address Line | 201 E PICACHO
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City | LAS CRUCES
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State | NM
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Zip | 88001-3456
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Country | US
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Telephone | 575-528-3473
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Fax | 575-528-4082
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Provider Business Mailing Address
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Address Line | N2930 STATE ROAD 22
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City | WAUTOMA
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State | WI
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Zip | 54982-5267
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Country | US
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Telephone | 888-777-4911
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Fax | 855-642-7228
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Authorized Official
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Title or Position | FIRE CHIEF
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Name | JASON LLOYD SMITH
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Credential |
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Telephone | 575-528-4074
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number |
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License Number State | NM
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