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General NPI Number Information
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NPI Number | 1497170252
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Entity Type | Organization
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Legal Business Name | UNM HOSPITAL
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Dates
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Enumeration Date | 03/03/2014
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Last Update Date | 10/11/2019
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Provider Practice Location Address
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Address Line | 1201 CAMINO DE SALUD NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87102-4517
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Country | US
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Telephone | 505-272-1700
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Fax | 505-272-2881
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Provider Business Mailing Address
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Address Line | MSC 07 4025 1 UNIVERSITY OF NEW MEXICO
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City | ALBUQUERQUE
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State | NM
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Zip | 87131-0001
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Country | US
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Telephone | 505-272-1700
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Fax | 505-272-2881
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Authorized Official
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Title or Position | PHARMACY DIRECTOR
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Name | DR. NICK THOMAS CROZIER
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Credential |
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Telephone | 505-589-1689
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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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 | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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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 | 3336I0012X
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Taxonomy Name | Institutional Pharmacy
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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 | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number | PH00003651
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License Number State | NM
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