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General NPI Number Information
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NPI Number | 1548125701
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Entity Type | Organization
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Legal Business Name | ROADRUNNER PANORAMIC RECOVERY,LLC
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Dates
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Enumeration Date | 12/19/2025
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Last Update Date | 12/19/2025
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Provider Practice Location Address
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Address Line | 3841 MIDWAY PL NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87109-5814
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Country | US
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Telephone | 505-808-3754
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Fax |
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Provider Business Mailing Address
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Address Line | 3841 MIDWAY PL NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87109-5814
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Country | US
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Telephone | 505-808-3754
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | MRS. KAYLA FLOWERS
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Credential | MSHI,MBA
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Telephone | 505-808-3754
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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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 | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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