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General NPI Number Information
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NPI Number | 1609046465
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Entity Type | Individual
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Provider Name | PAT G PADILLA RPH
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Gender | Male
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Dates
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Enumeration Date | 03/08/2008
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Last Update Date | 03/08/2008
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Provider Practice Location Address
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Address Line | 2011 12TH ST NW
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City | ALBUQUERQUE
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State | NM
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Zip | 87104-2301
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Country | US
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Telephone | 505-247-2354
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Fax |
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Provider Business Mailing Address
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Address Line | 6016 RIVERWALK DR NW
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City | ALBUQUERQUE
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State | NM
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Zip | 87120-2376
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Country | US
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Telephone | 505-247-2354
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Fax |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | NM4472
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License Number State | NM
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