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General NPI Number Information
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NPI Number | 1528699675
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Entity Type | Individual
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Provider Name | PHILICIA J KING PMHNP-BC, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 01/28/2020
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Last Update Date | 12/06/2025
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Provider Practice Location Address
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Address Line | 2930 HILLRISE DR STE 1
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City | LAS CRUCES
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State | NM
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Zip | 88011-4776
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Country | US
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Telephone | 575-448-7119
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Fax | 575-205-0361
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Provider Business Mailing Address
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Address Line | 2930 HILLRISE DR STE 1
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City | LAS CRUCES
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State | NM
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Zip | 88011-4776
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Country | US
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Telephone | 575-448-7119
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Fax | 575-205-0361
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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 | 0024178413
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 65770
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License Number State | NM
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