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General NPI Number Information
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NPI Number | 1669521282
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Entity Type | Organization
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Legal Business Name | TAOS HEALTH SYSTEMS INC HOLY CROSS HOSPITAL
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Dates
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Enumeration Date | 01/10/2007
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Last Update Date | 04/19/2011
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Provider Practice Location Address
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Address Line | #24 HIGHWAY 73
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City | PENASCO
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State | NM
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Zip | 87553-0205
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Country | US
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Telephone | 575-587-1833
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Fax | 575-587-1918
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Provider Business Mailing Address
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Address Line | 1397 WEIMER RD
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City | TAOS
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State | NM
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Zip | 87571-6253
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Country | US
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Telephone | 575-751-8905
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Fax | 575-751-3723
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Authorized Official
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Title or Position | SPECIAL PROJECTS
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Name | MR. PATRICK E ROSE
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Credential |
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Telephone | 575-751-8905
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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