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General NPI Number Information
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NPI Number | 1609822931
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Entity Type | Organization
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Legal Business Name | LAS CRUCES MEDICAL CENTER LLC
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Dates
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Enumeration Date | 05/26/2006
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Last Update Date | 02/22/2018
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Provider Practice Location Address
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Address Line | 4311 E LOHMAN AVE
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City | LAS CRUCES
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State | NM
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Zip | 88011-8255
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Country | US
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Telephone | 505-556-7610
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Fax | 505-556-7619
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Provider Business Mailing Address
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Address Line | PO BOX 847563
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City | DALLAS
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State | TX
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Zip | 75284
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Country | US
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Telephone | 505-556-7610
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Fax | 505-556-7619
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Authorized Official
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Title or Position | DIRECTOR/DELEGATED OFFICIAL
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Name | PAULA LALOR
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Credential |
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Telephone | 615-925-4565
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273Y00000X
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Taxonomy Name | Rehabilitation Hospital Unit
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License Number | 3091
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License Number State | NM
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