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General NPI Number Information
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NPI Number | 1699365965
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Entity Type | Organization
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Legal Business Name | ALERACARE OF NEW MEXICO INC
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Dates
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Enumeration Date | 01/21/2021
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 1800 OLD PECOS TRL STE E
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City | SANTA FE
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State | NM
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Zip | 87505-4759
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Country | US
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Telephone | 888-209-8874
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Fax |
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Provider Business Mailing Address
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Address Line | 5350 E HIGH ST STE 300
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City | PHOENIX
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State | AZ
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Zip | 85054-5561
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Country | US
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Telephone | 888-209-8874
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE VP
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Name | SCOTT FRIEDMAN
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Credential |
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Telephone | 888-209-8874
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QI0500X
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Taxonomy Name | Infusion Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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