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General NPI Number Information
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NPI Number | 1649642901
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Entity Type | Individual
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Provider Name | LISA MARIE PRICE FNP
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Gender | Female
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Dates
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Enumeration Date | 10/27/2015
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Last Update Date | 11/12/2025
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Provider Practice Location Address
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Address Line | 1800 UNSER BLVD NW STE 500
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City | ALBUQUERQUE
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State | NM
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Zip | 87120-4353
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Country | US
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Telephone | 505-205-1271
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Fax |
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Provider Business Mailing Address
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Address Line | 4101 INDIAN SCHOOL RD NE STE 110
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City | ALBUQUERQUE
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State | NM
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Zip | 87110-3991
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Country | US
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Telephone | 505-205-1271
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 56518
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP129481
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License Number State | TX
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