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General NPI Number Information
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NPI Number | 1649556200
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Entity Type | Organization
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Legal Business Name | UNM SANDOVAL REGIONAL MEDICAL CENTER, INC
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Dates
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Enumeration Date | 10/27/2011
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Last Update Date | 01/08/2020
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Provider Practice Location Address
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Address Line | 3001 BROADMOOR BLVD NE
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City | RIO RANCHO
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State | NM
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Zip | 87144-2100
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Country | US
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Telephone | 505-994-7402
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Fax | 505-994-7409
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Provider Business Mailing Address
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Address Line | 3001 BROADMOOR BLVD NE
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City | RIO RANCHO
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State | NM
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Zip | 87144-2100
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Country | US
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Telephone | 505-994-7402
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Fax | 505-994-7409
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Authorized Official
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Title or Position | CEO
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Name | MS. JAMIE SILVA-STEELE
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Credential |
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Telephone | 505-994-7402
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 3405
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License Number State | NM
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