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General NPI Number Information
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NPI Number | 1699804807
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Entity Type | Organization
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Legal Business Name | UNM HOSPITAL
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Dates
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Enumeration Date | 03/05/2007
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Last Update Date | 01/08/2020
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Provider Practice Location Address
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Address Line | 2211 LOMAS BLVD., NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87106-2745
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Country | US
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Telephone | 505-272-8991
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Fax | 505-272-2531
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Provider Business Mailing Address
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Address Line | 400 TIJERAS AVE NW STE 450
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City | ALBUQUERQUE
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State | NM
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Zip | 87102-3273
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Country | US
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Telephone | 505-272-4013
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Fax | 505-272-9991
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | BONNIE WHITE
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Credential |
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Telephone | 505-272-1840
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0700X
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Taxonomy Name | End-Stage Renal Disease (ESRD) Treatment Clinic/Center
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License Number | 6005
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License Number State | NM
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