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General NPI Number Information
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NPI Number | 1659540318
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Entity Type | Organization
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Legal Business Name | UNM OFFICE FOR COMMUNITY HEALTH - ICE
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Dates
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Enumeration Date | 02/27/2008
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Last Update Date | 02/27/2008
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Provider Practice Location Address
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Address Line | UNIVERSITY OF NEW MEXICO - HSC 1 UNIVERSITY OF NEW MEXICO MSC 09-5220
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City | ALBUQUERQUE
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State | NM
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Zip | 87131-0001
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Country | US
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Telephone | 505-272-2339
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Fax |
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Provider Business Mailing Address
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Address Line | UNIVERSITY OF NEW MEXICO - HSC 1 UNIVERSITY OF NEW MEXICO MSC 09-5220
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City | ALBUQUERQUE
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State | NM
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Zip | 87131-0001
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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 | V.P. FOR COMMUNITY HEALTH
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Name | ARTHUR KAUFMAN
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Credential | M.D.
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Telephone | 505-272-2339
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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