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General NPI Number Information
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NPI Number | 1770332066
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Entity Type | Organization
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Legal Business Name | Q CARE NEW MEXICO LLC
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Dates
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Enumeration Date | 05/17/2024
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Last Update Date | 10/17/2025
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Provider Practice Location Address
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Address Line | 1503 4TH ST NW
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City | ALBUQUERQUE
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State | NM
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Zip | 87102-1420
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Country | US
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Telephone | 505-331-2666
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Fax |
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Provider Business Mailing Address
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Address Line | 1503 4TH ST NW
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City | ALBUQUERQUE
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State | NM
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Zip | 87102-1420
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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 | OWNER
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Name | LAUREL WOLCOTT
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Credential |
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Telephone | 505-331-2666
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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