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NPI 1700433349

NPI 1700433349 : MONICA ALBIDRES FNP-BC : LAS CRUCES, NM

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General NPI Number Information
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    NPI Number           |    1700433349
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    Entity Type          |    Individual 
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    Provider Name        |    MONICA ALBIDRES FNP-BC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/19/2019
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    Last Update Date     |    08/19/2019
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Provider Practice Location Address
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    Address Line         |    1605 EL PASEO RD 
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    City                 |    LAS CRUCES
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    State                |    NM
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    Zip                  |    88001-6010
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    Country              |    US
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    Telephone            |    575-523-5400
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    Fax                  |    877-539-2504
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Provider Business Mailing Address
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    Address Line         |    1605 EL PASEO RD 
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    City                 |    LAS CRUCES
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    State                |    NM
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    Zip                  |    88001-6010
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    Country              |    US
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    Telephone            |    575-523-5400
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    Fax                  |    877-539-2504
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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       |    56899
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    License Number State |    NM
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