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General NPI Number Information
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NPI Number | 1619604204
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Entity Type | Organization
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Legal Business Name | ALAMO WOMEN'S CLINIC OF ALBUQUERQUE
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Dates
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Enumeration Date | 08/03/2022
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Last Update Date | 05/13/2025
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Provider Practice Location Address
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Address Line | 10151 MONTGOMERY BLVD NE BUILDING 3, UNIT B
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City | ALBUQUERQUE
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State | NM
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Zip | 87111
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Country | US
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Telephone | 505-494-5700
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Fax |
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Provider Business Mailing Address
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Address Line | 10151 MONTGOMERY BLVD NE, BUILDING 3, UNIT B, ALBUQUERQ
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City | ALBUQUERQUE
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State | NM
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Zip | 87111
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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 | ADMINISTRATIVE ASSISTANT/INSURANCE
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Name | KENDRA L TOMLIN
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Credential |
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Telephone | 505-494-5700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | 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 | 207VX0000X
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Taxonomy Name | Obstetrics Physician
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License Number |
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License Number State |
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