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General NPI Number Information
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NPI Number | 1750550067
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Entity Type | Organization
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Legal Business Name | STUDENT HEALTH AND COUNSELING
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Dates
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Enumeration Date | 02/21/2008
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Last Update Date | 08/20/2015
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Provider Practice Location Address
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Address Line | UNM STUDENT HEALTH AND COUNSELING MSC06 3870 1 UNIVERSITY OF NEW MEXICO
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City | ALBUQUERQUE
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State | NM
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Zip | 87131-0001
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Country | US
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Telephone | 505-277-3136
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Fax | 505-277-5668
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Provider Business Mailing Address
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Address Line | UNM STUDENT HEALTH AND COUNSELING MSC06 3870 1 UNIVERSITY OF NEW MEXICO
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City | ALBUQUERQUE
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State | NM
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Zip | 87131-0001
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Country | US
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Telephone | 505-277-3136
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Fax | 505-277-5668
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Authorized Official
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Title or Position | M.D., DIRECTOR, STUDENT HEALTH CTR
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Name | BEVERLY KAY KLOEPPEL
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Credential | M.D.
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Telephone | 505-277-1068
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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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