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General NPI Number Information
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NPI Number | 1679770283
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Entity Type | Individual
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Provider Name | CHERYLE ELAINE BAKEWELL CNP, APRN-BC, FNP
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Gender | Female
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Dates
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Enumeration Date | 06/27/2007
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Last Update Date | 03/19/2013
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Provider Practice Location Address
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Address Line | 4808 MCMAHON BLVD NW
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City | ALBUQUERQUE
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State | NM
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Zip | 87114-5010
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Country | US
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Telephone | 505-272-9676
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Fax | 505-277-1363
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Provider Business Mailing Address
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Address Line | 304 ALDABA CIR NE
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City | RIO RANCHO
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State | NM
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Zip | 87124-0839
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Country | US
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Telephone | 505-259-4702
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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 | RN438237
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License Number State | CA
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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 | RN-70132, CNP01545
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License Number State | NM
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