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General NPI Number Information
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NPI Number | 1598616062
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Entity Type | Organization
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Legal Business Name | ESPERANZA WELLNESS
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Dates
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Enumeration Date | 02/09/2026
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Last Update Date | 02/09/2026
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Provider Practice Location Address
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Address Line | 2321 CALLE COLIBRI
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City | SANTA FE
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State | NM
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Zip | 87505-6339
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Country | US
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Telephone | 915-519-0088
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Fax |
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Provider Business Mailing Address
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Address Line | 299 SHADOW MOUNTAIN DR STE C
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City | EL PASO
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State | TX
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Zip | 79912-4748
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Country | US
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Telephone | 915-519-0088
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | JAMES HENEGHAN HENEGHAN
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Credential | MD
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Telephone | 915-519-0088
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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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 | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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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 | 2084A0401X
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Taxonomy Name | Addiction Medicine (Psychiatry & Neurology) Physician
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License Number |
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License Number State |
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