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General NPI Number Information
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NPI Number | 1740009869
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Entity Type | Organization
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Legal Business Name | FNCH SBHC NEW FUTURES
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Dates
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Enumeration Date | 10/07/2024
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Last Update Date | 10/07/2024
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Provider Practice Location Address
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Address Line | 5400 CUTLER AVE NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87110-4073
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Country | US
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Telephone | 505-883-5680
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Fax |
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Provider Business Mailing Address
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Address Line | 5608 ZUNI RD SE
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City | ALBUQUERQUE
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State | NM
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Zip | 87108-2926
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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 | COO
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Name | CRYSTAL GALLEGOS
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Credential |
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Telephone | 505-262-6543
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QF0050X
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Taxonomy Name | Non-Surgical Family Planning Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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