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General NPI Number Information
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NPI Number | 1720874258
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Entity Type | Organization
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Legal Business Name | DESERT BLOOM HEALING LLC
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Dates
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Enumeration Date | 04/21/2025
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Last Update Date | 09/12/2025
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Provider Practice Location Address
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Address Line | 800 LOMAS BLVD NW STE 200
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City | ALBUQUERQUE
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State | NM
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Zip | 87102-1976
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Country | US
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Telephone | 661-301-4267
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Fax |
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Provider Business Mailing Address
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Address Line | 2315 DON ONOFRE TRL NW
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City | ALBUQUERQUE
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State | NM
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Zip | 87107-3096
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Country | US
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Telephone | 661-301-4267
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JANETH DEANNA NUNEZ DEL PRADO
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Credential | LCSW
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Telephone | 661-301-4267
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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