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General NPI Number Information
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NPI Number | 1730985276
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Entity Type | Organization
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Legal Business Name | NEW MEXICO MEDICAL & INJURY CLINICS
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Dates
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Enumeration Date | 02/24/2025
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Last Update Date | 02/24/2025
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Provider Practice Location Address
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Address Line | 2457 S TELSHOR BLVD
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City | LAS CRUCES
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State | NM
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Zip | 88011-5049
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Country | US
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Telephone | 575-259-6478
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Fax |
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Provider Business Mailing Address
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Address Line | 2457 S TELSHOR BLVD
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City | LAS CRUCES
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State | NM
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Zip | 88011-5049
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Country | US
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Telephone | 575-259-6478
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | PHILIP RODRIGUEZ
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Credential | NP
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Telephone | 505-364-6804
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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