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General NPI Number Information
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NPI Number | 1528873189
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Entity Type | Individual
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Provider Name | DENISSE YEVERINO
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Gender | Female
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Dates
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Enumeration Date | 02/11/2025
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Last Update Date | 02/11/2025
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Provider Practice Location Address
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Address Line | 1815 WELLS ST
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City | LAS CRUCES
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State | NM
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Zip | 88003-1304
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Country | US
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Telephone | 915-228-5402
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Fax |
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Provider Business Mailing Address
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Address Line | 7401 SAN PEDRO DR NE TRLR 48
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City | ALBUQUERQUE
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State | NM
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Zip | 87109-4626
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Country | US
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Telephone |
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number |
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License Number State |
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