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General NPI Number Information
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NPI Number | 1578410833
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Entity Type | Organization
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Legal Business Name | RESIST RX, LLC
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Dates
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Enumeration Date | 03/14/2026
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Last Update Date | 03/14/2026
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Provider Practice Location Address
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Address Line | 303 SAN MATEO BLVD NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87108-1382
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Country | US
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Telephone | 505-226-6337
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Fax |
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Provider Business Mailing Address
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Address Line | 222 CAMINO DE LA TIERRA
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City | CORRALES
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State | NM
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Zip | 87048-8562
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | EFREN GALLARDO
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Credential | MSW
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Telephone | 505-226-6337
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0800X
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Taxonomy Name | Recovery Care Clinic/Center
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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 | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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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 | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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