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General NPI Number Information
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NPI Number | 1710868989
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Entity Type | Individual
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Provider Name | TANYA HOOPER
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Gender | Female
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Dates
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Enumeration Date | 09/11/2025
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Last Update Date | 09/20/2025
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Provider Practice Location Address
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Address Line | 8206 LOUISIANA BLVD NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87113-1738
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Country | US
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Telephone | 505-225-2022
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Fax | 505-212-5265
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Provider Business Mailing Address
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Address Line | 1400 S 2ND ST
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City | RATON
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State | NM
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Zip | 87740-2102
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Country | US
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Telephone | 505-225-2022
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Fax | 505-212-5265
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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 | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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