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General NPI Number Information
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NPI Number | 1528581477
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Entity Type | Organization
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Legal Business Name | HIPPOCARE, INC
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Dates
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Enumeration Date | 07/24/2017
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Last Update Date | 02/04/2026
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Provider Practice Location Address
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Address Line | 3911 4TH ST NW STE B
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City | ALBUQUERQUE
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State | NM
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Zip | 87107-2510
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Country | US
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Telephone | 505-433-4493
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Fax | 505-433-5271
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Provider Business Mailing Address
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Address Line | 3911 4TH ST NW
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City | ALBUQUERQUE
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State | NM
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Zip | 87107-2510
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Country | US
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Telephone | 505-433-4493
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Fax | 505-433-5271
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Authorized Official
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Title or Position | CEO
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Name | BECKY GONZALEZ
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Credential | FNP,PMHNP
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Telephone | 505-688-1064
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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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 | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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