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General NPI Number Information
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NPI Number | 1568312601
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Entity Type | Individual
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Provider Name | OLGA LIDIA CAMPA
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Gender | Female
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Dates
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Enumeration Date | 01/29/2026
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Last Update Date | 02/10/2026
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Provider Practice Location Address
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Address Line | 999 W AMADOR AVE
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City | LAS CRUCES
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State | NM
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Zip | 88005-2739
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Country | US
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Telephone | 575-556-9681
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Fax | 575-652-3785
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Provider Business Mailing Address
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Address Line | PO BOX 2243
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City | LAS CRUCES
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State | NM
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Zip | 88004-2243
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Country | US
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Telephone | 575-527-5482
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Fax | 575-652-3785
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State | NM
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