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General NPI Number Information
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NPI Number | 1487529418
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Entity Type | Organization
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Legal Business Name | BOCEPHUS RECOVERY CORP
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Dates
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Enumeration Date | 10/08/2025
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Last Update Date | 10/08/2025
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Provider Practice Location Address
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Address Line | 2501 YALE BLVD SE
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City | ALBUQUERQUE
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State | NM
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Zip | 87106-4200
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Country | US
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Telephone | 210-984-4620
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Fax |
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Provider Business Mailing Address
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Address Line | 10823 DENTON RD SW
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City | ALBUQUERQUE
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State | NM
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Zip | 87121-2595
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Country | US
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Telephone | 210-984-4620
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CYNTHIA LOPEZ
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Credential |
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Telephone | 210-984-4620
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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