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General NPI Number Information
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NPI Number | 1750484093
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Entity Type | Individual
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Provider Name | JOYCE LEE POWERS NP
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Gender | Female
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Dates
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Enumeration Date | 09/05/2006
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Last Update Date | 06/01/2017
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Provider Practice Location Address
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Address Line | 1501 SAN PEDRO SE
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City | ALBUQUERQUE
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State | NM
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Zip | 87108
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Country | US
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Telephone | 505-256-2729
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Fax | 505-256-5703
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Provider Business Mailing Address
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Address Line | 11201 WOODMAR NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87111
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Country | US
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Telephone | 505-400-0879
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Fax |
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | R16262
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | CNP00190
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License Number State | NM
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