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General NPI Number Information
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NPI Number | 1740042738
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Entity Type | Organization
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Legal Business Name | LACUNA HEALTHCARE
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Dates
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Enumeration Date | 01/25/2024
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Last Update Date | 01/25/2024
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Provider Practice Location Address
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Address Line | 4801 LANG AVE NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87109-4474
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Country | US
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Telephone | 505-221-9245
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Fax |
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Provider Business Mailing Address
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Address Line | 8715 SEVANO CIR NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87113-2494
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Country | US
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Telephone | 505-221-9245
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. AROBOYI VERONICA RHODES
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Credential | MD
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Telephone | 505-221-9245
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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