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General NPI Number Information
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NPI Number | 1548119811
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Entity Type | Individual
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Provider Name | TRAVIS G POPE CPSW
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Gender | Male
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Dates
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Enumeration Date | 01/28/2026
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Last Update Date | 01/28/2026
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Provider Practice Location Address
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Address Line | 414 N MAIN ST STE 1
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City | LAS CRUCES
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State | NM
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Zip | 88001-1281
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Country | US
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Telephone | 575-300-4450
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Fax |
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Provider Business Mailing Address
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Address Line | 324 PAJARO RD
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City | LAS CRUCES
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State | NM
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Zip | 88005-3528
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Country | US
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Telephone | 505-430-3688
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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 | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number | 2009
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License Number State | NM
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