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General NPI Number Information
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NPI Number | 1619837713
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Entity Type | Organization
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Legal Business Name | COMPLETE FULL CIRCLE INC.
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Dates
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Enumeration Date | 11/12/2025
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 123 ASPEN DR
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City | SUNLAND PARK
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State | NM
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Zip | 88063-9193
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Country | US
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Telephone | 575-554-1355
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Fax |
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Provider Business Mailing Address
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Address Line | 2551 SONORA SPRINGS BLVD
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City | LAS CRUCES
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State | NM
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Zip | 88011-5280
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Country | US
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Telephone | 575-554-1355
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Fax |
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Authorized Official
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Title or Position | PROGRAM DIRECTOR
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Name | VANESSA GONZALEZ
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Credential |
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Telephone | 575-554-1355
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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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