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General NPI Number Information
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NPI Number | 1528869393
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Entity Type | Individual
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Provider Name | CHASTITY CHRISTINE GENGLER ACNPC-NP
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Gender | Female
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Dates
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Enumeration Date | 03/19/2025
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Last Update Date | 05/19/2025
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Provider Practice Location Address
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Address Line | 2450 S TELSHOR BLVD
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City | LAS CRUCES
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State | NM
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Zip | 88011-5069
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Country | US
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Telephone | 575-522-8641
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Fax |
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Provider Business Mailing Address
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Address Line | 6403 TOWHEE AVE # 88012
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City | LAS CRUCES
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State | NM
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Zip | 88012-7082
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Country | US
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Telephone | 575-639-2964
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 56243
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 56243
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License Number State | NM
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