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General NPI Number Information
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NPI Number | 1578933396
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Entity Type | Organization
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Legal Business Name | ARMADA SKILLED HOMECARE OF NEW MEXICO LLC
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Dates
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Enumeration Date | 10/06/2015
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Last Update Date | 10/27/2021
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Provider Practice Location Address
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Address Line | 5501 WILSHIRE AVE NE STE Y
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City | ALBUQUERQUE
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State | NM
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Zip | 87113-2569
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Country | US
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Telephone | 505-847-2388
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Fax |
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Provider Business Mailing Address
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Address Line | 2300 WARRENVILLE RD STE 100
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City | DOWNERS GROVE
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State | IL
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Zip | 60515-1717
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Country | US
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Telephone | 630-296-3400
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Fax |
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Authorized Official
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Title or Position | EVP CHIEF STRATEGY OFFICER
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Name | DARBY ANDERSON
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Credential |
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Telephone | 630-296-3400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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