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General NPI Number Information
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NPI Number | 1821068669
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Entity Type | Individual
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Provider Name | CHRISTINE J PERKOWSKA PA
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Gender | Female
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Dates
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Enumeration Date | 01/24/2006
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Last Update Date | 07/25/2023
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Provider Practice Location Address
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Address Line | TAOS WHOLE HEALTH INTEGRATIVE CARE 1331 MAESTAS RD
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City | TAOS
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State | NM
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Zip | 87571-6268
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Country | US
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Telephone | 575-776-7806
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Fax | 575-224-3348
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Provider Business Mailing Address
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Address Line | 1331 MAESTAS RD
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City | TAOS
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State | NM
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Zip | 87571-6268
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Country | US
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Telephone | 575-776-7806
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Fax | 575-224-3348
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 90PA17
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 90-PA17
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License Number State | NM
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