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General NPI Number Information
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NPI Number | 1629866058
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Entity Type | Organization
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Legal Business Name | AHNU CELTIC OASIS LLC
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Dates
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Enumeration Date | 04/26/2025
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 231 N SCHWARTZ AVE
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City | FARMINGTON
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State | NM
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Zip | 87401-5513
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Country | US
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Telephone | 505-800-5848
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Fax | 505-209-8923
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Provider Business Mailing Address
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Address Line | 6 ROAD 3775
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City | FARMINGTON
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State | NM
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Zip | 87401-7976
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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 | MANAGER
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Name | CATHY BELINDA POE
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Credential | NP
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Telephone | 505-800-5848
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 173C00000X
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Taxonomy Name | Reflexologist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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