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General NPI Number Information
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NPI Number | 1497053706
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Entity Type | Individual
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Provider Name | WARREN GOLDENBERG CFNP
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Gender | Male
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Dates
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Enumeration Date | 03/10/2011
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Last Update Date | 05/29/2025
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Provider Practice Location Address
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Address Line | 4200 BECKNER RD
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City | SANTA FE
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State | NM
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Zip | 87507-3774
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Country | US
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Telephone | 505-477-2200
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Fax |
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Provider Business Mailing Address
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Address Line | 7 CALIENTE RD UNIT B1
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City | SANTA FE
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State | NM
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Zip | 87508-3104
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Country | US
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Telephone | 505-216-7772
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Fax | 505-557-6699
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | CNP01761
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License Number State | NM
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