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General NPI Number Information
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NPI Number | 1811918428
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Entity Type | Organization
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Legal Business Name | SURGICARE PLUS PC
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Dates
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Enumeration Date | 07/21/2006
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Last Update Date | 10/03/2007
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Provider Practice Location Address
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Address Line | 2539 MEDICAL DRIVE STE 107
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City | ALAMOGORDO
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State | NM
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Zip | 88310
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Country | US
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Telephone | 505-439-6560
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Fax |
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Provider Business Mailing Address
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Address Line | 205 W. BOUTZ RD BLDG #1
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City | LAS CRUCES
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State | NM
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Zip | 88005
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Country | US
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Telephone | 505-532-7000
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | CHRISTINA L. GUERRA
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Credential | MD
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Telephone | 505-532-7000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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