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General NPI Number Information
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NPI Number | 1518239276
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Entity Type | Organization
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Legal Business Name | NEW MEXICO HEALTHCARE SERVICES LLC
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Dates
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Enumeration Date | 01/27/2012
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Last Update Date | 09/11/2024
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Provider Practice Location Address
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Address Line | 201 E 2ND ST STE A
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City | ROSWELL
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State | NM
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Zip | 88201-6211
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Country | US
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Telephone | 575-625-8885
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Fax | 575-625-8887
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Provider Business Mailing Address
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Address Line | 3223 S LOOP 289 STE 210
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City | LUBBOCK
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State | TX
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Zip | 79423-1352
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Country | US
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Telephone | 806-771-0995
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Fax | 806-771-3813
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | SHELLY LYNN MARKER
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Credential | RN
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Telephone | 806-771-0995
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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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 | 251J00000X
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Taxonomy Name | Nursing Care Agency
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 3374
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License Number State | NM
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