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General NPI Number Information
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NPI Number | 1497707442
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Entity Type | Organization
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Legal Business Name | MESILLA VALLEY HEALTHCARE ASSOCIATES P.A.
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Dates
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Enumeration Date | 05/17/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2020 S. SOLANO DR. SUITE C
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City | LAS CRUCES
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State | NM
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Zip | 88001-5416
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Country | US
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Telephone | 505-523-4880
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Fax | 505-523-1796
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Provider Business Mailing Address
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Address Line | 2020 S. SOLANO DR. SUITE C
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City | LAS CRUCES
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State | NM
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Zip | 88001-5416
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Country | US
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Telephone | 505-523-4880
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Fax | 505-523-1796
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Authorized Official
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Title or Position | CNP/OWNER
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Name | MRS. ANGELINA P CARVER
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Credential | CNP
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Telephone | 505-523-4880
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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 | R19996
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RII668
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License Number State | NM
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