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General NPI Number Information
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NPI Number | 1528727542
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Entity Type | Individual
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Provider Name | NANCY ANNETTE RIOS FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 12/17/2021
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Last Update Date | 06/16/2022
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Provider Practice Location Address
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Address Line | 2420 W PIERCE ST STE 200
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City | CARLSBAD
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State | NM
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Zip | 88220-3518
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Country | US
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Telephone | 575-628-8852
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1933
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City | CARLSBAD
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State | NM
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Zip | 88221-1933
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Country | US
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Telephone | 575-312-5237
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Fax |
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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 | 2021185461
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License Number State | NM
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