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General NPI Number Information
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NPI Number | 1811075484
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Entity Type | Organization
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Legal Business Name | TRANSITIONAL HOSPITALS CORPORATION OF NEW MEXICO, LLC
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 06/19/2025
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Provider Practice Location Address
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Address Line | 700 HIGH ST NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87102
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Country | US
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Telephone | 505-242-4444
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Fax | 505-842-5641
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Provider Business Mailing Address
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Address Line | 680 S 4TH ST
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City | LOUISVILLE
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State | KY
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Zip | 40202-2407
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Country | US
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Telephone | 502-596-7086
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Fax | 502-212-8481
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Authorized Official
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Title or Position | DIR LICENSURE AND CERTIFICATICATION
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Name | JOHNETTA TRAYLOR
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Credential |
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Telephone | 502-596-6063
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282E00000X
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Taxonomy Name | Long Term Care Hospital
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License Number | 6379
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License Number State | NM
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