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General NPI Number Information
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NPI Number | 1558068205
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Entity Type | Organization
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Legal Business Name | SOL AMOR SENIOR CARE
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Dates
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Enumeration Date | 02/13/2023
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Last Update Date | 02/13/2023
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Provider Practice Location Address
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Address Line | 4273 MONTGOMERY BLVD NE STE 110
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City | ALBUQUERQUE
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State | NM
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Zip | 87109-6746
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Country | US
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Telephone | 505-365-1302
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Fax | 505-520-0131
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Provider Business Mailing Address
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Address Line | 4273 MONTGOMERY BLVD NE STE 110
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City | ALBUQUERQUE
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State | NM
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Zip | 87109-6746
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Country | US
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Telephone | 505-365-1302
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Fax | 505-520-0131
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Authorized Official
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Title or Position | CEO
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Name | DENISE IRWIN-PODLESNY
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Credential | RN
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Telephone | 505-365-1302
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care 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 | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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