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General NPI Number Information
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NPI Number | 1700473824
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Entity Type | Organization
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Legal Business Name | NEW MEXICO URGENT CARE WALK-IN CLINIC LLC
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Dates
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Enumeration Date | 12/22/2020
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Last Update Date | 12/18/2023
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Provider Practice Location Address
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Address Line | 3111 EUBANK BLVD NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87111-4869
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Country | US
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Telephone | 954-643-8510
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Fax |
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Provider Business Mailing Address
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Address Line | 3111 EUBANK BLVD NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87111-4869
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. MUHAMMAD N AHMAD
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Credential | MD
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Telephone | 734-306-8877
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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