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General NPI Number Information
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NPI Number | 1568870525
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Entity Type | Organization
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Legal Business Name | CARE HOMES NM LLC
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Dates
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Enumeration Date | 07/22/2014
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Last Update Date | 07/22/2014
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Provider Practice Location Address
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Address Line | 3051 TWIN OAKS DR NW
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City | ALBUQUERQUE
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State | NM
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Zip | 87120-3191
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Country | US
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Telephone | 505-831-4141
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Fax | 505-833-6066
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Provider Business Mailing Address
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Address Line | 3051 TWIN OAKS DR NW
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City | ALBUQUERQUE
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State | NM
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Zip | 87120-3191
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Country | US
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Telephone | 505-831-4141
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Fax | 505-833-6066
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. CAREN M PHILLIPS
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Credential |
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Telephone | 505-850-8720
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 2252
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License Number State | NM
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