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General NPI Number Information
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NPI Number | 1487451357
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Entity Type | Organization
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Legal Business Name | ASPIRE HEALTH & WELLNESS
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Dates
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Enumeration Date | 02/27/2025
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Last Update Date | 02/27/2025
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Provider Practice Location Address
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Address Line | 6601 4TH ST NW STE B
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City | LOS RANCHOS
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State | NM
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Zip | 87107-6149
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Country | US
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Telephone | 505-372-4796
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Fax |
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Provider Business Mailing Address
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Address Line | 748 LIBBY AVE SW
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City | ALBUQUERQUE
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State | NM
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Zip | 87121-8632
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Country | US
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Telephone | 505-206-3226
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Fax |
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Authorized Official
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Title or Position | FAMILY NURSE PRACTITIONER
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Name | CRYSTAL MCCLAIN
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Credential | NP
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Telephone | 505-372-4796
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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 |
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License Number State |
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